Michael M Wall in Decatur - Family Medicine

Michael M Wall - NPI 1093772311

Michael M Wall is a Family Medicine in Decatur, Illinois. Michael M Wall practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael M Wall is 1093772311. The last update date is 2014-08-27.

Michael M Wall's current location address is 2300 N Edward St, Decatur, Illinois. You can contact this provider via phone number 2178765690 and fax number 2178762874. The mailing address for Michael M Wall is 2300 N Edward St, Decatur, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael M Wall
Address 2300 N Edward St, Decatur, Illinois
Phone Number 2178765690
Fax Number 2178762874
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1093772311
Provider Enumeration Date 2006-04-28
Last Updated Date 2014-08-27

Provider Mailing Address Detail

Address 2300 N Edward St
City Decatur
State Illinois (IL)
Post Code 625264163
Phone Number 2178765690
Fax Number 2178762874

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36071267
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Michael M Wall

What is the unique 10-digit identification code issued to Michael M Wall by the Centers for Medicare & Medicaid Services?

The Michael M Wall has been assigned the NPI (National Provider Identifier) 1093772311 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Michael M Wall is located?

The Michael M Wall is situated at the following address: 2300 N Edward St, Decatur, IL, 625264163.

What is Michael M Wall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Michael M Wall is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

When was the Michael M Wall's 1093772311 issued?

The Michael M Wall's 1093772311 was issued on 2006-04-28.

As of what date was the information pertaining to Michael M Wall, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michael M Wall, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-08-27.

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