Mark S Walstrom in Ada - Professional

Mark S Walstrom - NPI 1780750844

Mark S Walstrom is a Professional in Ada, Michigan. Mark S Walstrom practices all healthcare services and medical treatments related to Professional. The NPI Number for Mark S Walstrom is 1780750844. The last update date is 2009-01-26.

Mark S Walstrom's current location address is 967 Spaulding Ave Se, Ada, Michigan. You can contact this provider via phone number 6166332170. The mailing address for Mark S Walstrom is 967 Spaulding Ave Se, Ada, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark S Walstrom
Address 967 Spaulding Ave Se, Ada, Michigan
Phone Number 6166332170
Fax Number
Sole Proprietor Y
Credentials L.P.C.

NPI Number Detail

NPI Number 1780750844
Provider Enumeration Date 2006-11-28
Last Updated Date 2009-01-26

Provider Mailing Address Detail

Address 967 Spaulding Ave Se
City Ada
State Michigan (MI)
Post Code 493013700
Phone Number 6166332170
Fax Number

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 6401003116
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

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FAQs about Mark S Walstrom

What is the unique identifier code issued to Mark S Walstrom by the Centers for Medicare & Medicaid Services?

The Mark S Walstrom has been assigned the NPI (National Provider Identifier) 1780750844. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Mark S Walstrom is physically located?

The Mark S Walstrom is physically situated at the following address: 967 Spaulding Ave Se, Ada, MI, 493013700.

What is Mark S Walstrom's area of expertise and its corresponding taxonomy classification?

The Mark S Walstrom's field of specialization is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their areas of practice.

When was the Mark S Walstrom's 1780750844 issued?

The Mark S Walstrom's 1780750844 was issued on 2006-11-28.

When was the Mark S Walstrom's information last updated?

The Mark S Walstrom's information was last updated on 2009-01-26.

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