Gary Waller in Sterling Heights - Athletic Trainer

Gary Waller - NPI 1568505592

Gary Waller is a Athletic Trainer in Sterling Heights, Michigan. Gary Waller practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Gary Waller is 1568505592. The last update date is 2007-07-08.

Gary Waller's current location address is 6220 1 And A Half Half Mile Road, Sterling Heights, Michigan. You can contact this provider via phone number 5867316603 and fax number 5867311148. The mailing address for Gary Waller is 6220 1 And A Half Half Mile Road, Sterling Heights, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Waller
Address 6220 1 And A Half Half Mile Road, Sterling Heights, Michigan
Phone Number 5867316603
Fax Number 5867311148
Sole Proprietor N
Credentials ATC

NPI Number Detail

NPI Number 1568505592
Provider Enumeration Date 2007-02-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6220 1 And A Half Half Mile Road
City Sterling Heights
State Michigan (MI)
Post Code 48314
Phone Number 5867316603
Fax Number 5867311148

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

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FAQs about Gary Waller

What is the unique identifier code issued to Gary Waller by the Centers for Medicare & Medicaid Services?

The Gary Waller has been assigned the NPI (National Provider Identifier) 1568505592. 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 physical location address of Gary Waller?

The Gary Waller is physically situated at 6220 1 And A Half Half Mile Road, in the city of Sterling Heights, state of MI, with the postal code 48314.

What is the area of specialization for Gary Waller, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gary Waller is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of expertise is 2255A2300X.

On what date was the 1568505592 assigned to Gary Waller?

The Gary Waller was issued its 1568505592 on 2007-02-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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

The information related to Gary Waller, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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