ROBERTA WALL, PA
Physician Assistant
Active
Individual
NPI: 1518398676
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 5601006833 (MI) |
Frequently Asked Questions
NPI 1518398676 is the National Provider Identifier for ROBERTA WALL, PA, a Physician Assistant provider located in Holland, MI. This NPI was enumerated on November 27, 2013.
ROBERTA WALL, PA practices at 588 E LAKEWOOD BLVD, 1ST FLOOR, Holland, MI 49424.
Quick Facts
- NPI
- 1518398676
- Type
- Individual
- Enumerated
- Nov 27, 2013
- Last Updated
- Feb 19, 2021
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