Robert C Waller
Emergency Medical Services Internist - Addiction Medicine
75 Sheldon Blvd Se
Grand Rapids
, Michigan 49503-4224
Robert C Waller
Emergency Medical Services Internist - Addiction Medicine
75 Sheldon Blvd Se
Grand Rapids
, Michigan 49503-4224
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About
Features
Specialties
- Emergency Medical Services
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Robert C Waller
- 100 Michigan St Ne Mc 845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Robert C Waller
- 75 Sheldon Blvd Se
- Grand Rapids, MI
- Zip : 49503-4224
- Phone : (616) 391-6120
Reviews
FAQs
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What type of doctor is Robert C Waller
In what state does Robert C Waller practice in?
Where is Robert C Waller ’s practice located?
What is Robert C Waller ’s gender?
Is Robert C Waller a sole practitioner?
Is Robert C Waller accepting new patients?
What languages does Robert C Waller speak?
Does Robert C Waller accept insurance?
Does Robert C Waller offers telemedicine?
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What is Robert C Waller ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PE0004X | Emergency Medical Services | 4301087247 | MI |
| Y | 207RA0401X | Internist - Addiction Medicine | 4301087247 | MI |
National Provider Identifier
| NPI | 1326097809 |
|---|---|
| Provider Name | Robert C Waller |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Grand Rapids, MI 49503-4224 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 03/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I49193 | (02) | MI |
| P00343656 | RAILROAD MEDICARE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.