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1992886410
RICHARD ARLEN WALLUS
GRAND RAPIDS, MI
NPI
1992886410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601001365)
Enumeration Date
2006-10-18
Last Update Date
2011-02-04
Business Address
-- RICHARD ARLEN WALLUS
100 MICHIGAN NW SUITE A721
GRAND RAPIDS, MI 49503
Phone number: 616-974-4493
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Mailing Address
-- RICHARD ARLEN WALLUS
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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