Backus-Walzer, Michelle

Backus-Walzer, Michelle is an individual health care provider with primary practice located at 100 Michigan St Ne # Mc027 , Grand Rapids MI 49503-2560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Backus-Walzer, Michelle can be contacted via phone (616) 391-2160.

Contact Information

Primary practice address
100 Michigan St Ne # Mc027 Grand Rapids MI 49503-2560
Phone: (616) 391-2160
Fax: (616) 391-2683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 47016 Wisconsin

Profile Details

NPI number 1124011531
LBN Legal business name Backus-Walzer, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Mar 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124011531 NPPES
Wisconsin MEDICAID 34549100
Wisconsin MEDICAID 32666500

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