James L Waller V, PA-C
NPI #1093375966 in Burlington, Wisconsin
Provider Information
- NPI Number
- 1093375966
- Entity Type
- Individual
- Name
- James L Waller V, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 13, 2019
- Last Updated
- Jun 10, 2022
Practice Location
- Address
- 709 SPRING VALLEY RD
- City
- Burlington
- State
- Wisconsin
- ZIP Code
- 53105-7614
- Phone
- (262) 767-6020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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