Frederick Wallin

NPI #1629828736 in Mackinaw City, Michigan

Provider Information

NPI Number: 1629828736
Entity Type: Individual
Name: Frederick Wallin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Mar 25, 2024
Last Updated: Mar 25, 2024

Practice Location

Address: 12823 N MACKINAW HWY
City: Mackinaw City
State: Michigan
ZIP Code: 49701-9744
Phone: (231) 436-5319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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