Walstrom, Wally
Walstrom, Wally is an individual health care provider with primary practice located at 2500 Canterbury Dr Ste 112 , Hays KS 67601-2257. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Walstrom, Wally can be contacted via phone (785) 261-7599.Contact Information
Primary practice address
2500 Canterbury Dr Ste 112
Hays KS 67601-2257
Phone: (785) 261-7599
Fax: (785) 261-7548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0537903 | Kansas |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 0537903 | Kansas |
Profile Details
| NPI number | 1992067656 |
|---|---|
| LBN Legal business name | Walstrom, Wally |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2012 |
| Last updated | Apr 4th, 2022 - 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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