Ehsan Wali

NPI #1699294298 in Lake Orion, Michigan

Provider Information

NPI Number: 1699294298
Entity Type: Individual
Name: Ehsan Wali
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 14, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1375 S LAPEER RD
City: Lake Orion
State: Michigan
ZIP Code: 48360-1421
Phone: (248) 929-8174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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