Wallerich, Michael
Wallerich, Michael is an individual health care provider with primary practice located at 1300 University Ave W , Saint Paul MN 55104-4103. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Wallerich, Michael can be contacted via phone (612) 643-3525.Contact Information
Primary practice address
1300 University Ave W
Saint Paul MN 55104-4103
Phone: (612) 643-3525
Fax: (612) 299-1452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | MN3573 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3573 | Minnesota |
Profile Details
| NPI number | 1881135093 |
|---|---|
| LBN Legal business name | Wallerich, Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2017 |
| Last updated | Nov 16th, 2021 - about 5 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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