Wallin, Gregory S
Wallin, Gregory S is an individual health care provider with primary practice located at 1986 Mall Pl , Benton Harbor MI 49022-2332. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wallin, Gregory S can be contacted via phone (269) 945-5854.Contact Information
Primary practice address
1986 Mall Pl
Benton Harbor MI 49022-2332
Phone: (269) 945-5854
Fax: (369) 945-5854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obesity Medicine | 207QB0002X | 036134280 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036134280 | Illinois |
Profile Details
| NPI number | 1790070803 |
|---|---|
| LBN Legal business name | Wallin, Gregory S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2011 |
| Last updated | Jan 26th, 2024 - about last year |
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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