JAMES WALLER V, PA-C
Physician Assistant
Active
Individual
NPI: 1093375966
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 4760 (WI) |
Frequently Asked Questions
NPI 1093375966 is the National Provider Identifier for JAMES WALLER V, PA-C, a Physician Assistant provider located in Burlington, WI. This NPI was enumerated on June 13, 2019.
JAMES WALLER V, PA-C practices at 709 SPRING VALLEY RD, Burlington, WI 53105.
Quick Facts
- NPI
- 1093375966
- Type
- Individual
- Enumerated
- Jun 13, 2019
- Last Updated
- Jun 10, 2022
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