Waller, Gary

Waller, Gary is an individual health care provider with primary practice located at 6220 1 And A Half Half Mile Road , Sterling Heights MI 48314. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Waller, Gary can be contacted via phone (586) 731-6603.

Contact Information

Primary practice address
6220 1 And A Half Half Mile Road Sterling Heights MI 48314
Phone: (586) 731-6603
Fax: (586) 731-1148
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1568505592
LBN Legal business name Waller, Gary
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers