GREGORY WALTZ

SOUTHFIELD, MI
NPI1811659592
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI  4704314350)
Enumeration Date2021-10-09
Last Update Date2021-10-09
Business Address
GREGORY WALTZ PMHNP
29500 SOUTHFIELD RD
SOUTHFIELD, MI 48076-2030
Phone number: 248-765-1795
Mailing Address
GREGORY WALTZ PMHNP
4936 WOOD ST
WATERFORD, MI 48329-3479
Phone number: 541-554-7808