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Michael Waller
Student in an Organized Health Care Education/Training Program in Salisbury, North Carolina
NPI 1063838530

Michael Waller is a Student in an Organized Health Care Education/Training Program based in Salisbury, NC. Michael Waller practices in Salisbury, NC. The NPI Number for Michael Waller is 1063838530 and holds a License No. (North Carolina).

The current practice location address for Michael Waller is 2300 W Innes St, Salisbury, NC and can be reached out via phone at 317-938-7290. You can also correspond with Michael Waller through the mailing address at 2300 W INNES ST, SALISBURY, NC - 28144-2441 (mailing address contact number: ).

Location: 2300 W Innes St, Salisbury, NC, 28144-2441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063838530
Provider Name
Michael Waller
Credential
Provider Entity Type
Individual
Gender
Male
Address
2300 W Innes St, Salisbury, NC, 28144-2441
Phone Number
317-938-7290
Fax Number
Provider Enumeration Date
03/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2300 W Innes St
City
Salisbury
State
North Carolina
Zip
28144-2441
Phone Number
317-938-7290
Fax Number
person
Provider Business Mailing Address Details
Address
2300 W Innes St
City
Salisbury
State
North Carolina
Zip
28144-2441
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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