DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL M WALL, M.D.

Active

DR. MICHAEL M WALL, M.D. is a Family Medicine healthcare provider located in FORSYTH, Illinois. NPI 1093772311 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FORSYTH, IL

Registration Details

NPI Number
1093772311
Provider Type
Individual
Gender
Male
NPI Issued
Apr 28, 2006 (20.296241476001 yrs)
Last Updated
Aug 27, 2014
License
036071267 (IL)

Practice Information

Address
241 W WEAVER RD
STE 145C
FORSYTH, IL, 625359799
Browse IL providers · Browse ZIP 62535
Phone
2178765200
Fax
2178765205
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in FORSYTH, IL

Name Credential NPI
MR. DEAN RYAN DAVIS MD 1700847191
DR. KENNETH W SCRIBNER M.D. 1992753172
DR. MARYAM QURESHI M.D. 1639381817
DR. ROBERTO PABALATE MD 1528221504
DR. POOJA SHETH-DUTT MD 1346735065
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.