DR. Michael M Wall, M.D.

NPI #1093772311 in Forsyth, Illinois

Provider Information

NPI Number: 1093772311
Entity Type: Individual
Name: DR. Michael M Wall, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 28, 2006
Last Updated: Aug 27, 2014

Practice Location

Address: 241 W WEAVER RD
Address 2: STE 145C
City: Forsyth
State: Illinois
ZIP Code: 62535-9799
Phone: (217) 876-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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