Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID KEITH WALLIS
ActiveDAVID KEITH WALLIS is a Peer Specialist healthcare provider located in MADISON HEIGHTS, Michigan. NPI 1134685167 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · MADISON HEIGHTS, MI
Registration Details
- NPI Number
- 1134685167
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2019 (7.5207482012694 yrs)
- Last Updated
- Feb 14, 2019
Practice Information
- Address
-
1400 E 12 MILE RDMADISON HEIGHTS, MI, 480712651Browse MI providers · Browse ZIP 48071
- Phone
- 2486581116
- Fax
- 2486581120
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in MADISON HEIGHTS, MI
| Name | Credential | NPI |
|---|---|---|
| MICHAEL WALBECQ | — | 1891376224 |
| MR. PAUL GERARD SHANKIN JR. | CCAR | 1467123497 |
| BRITTAIN PATTON | — | 1942946371 |
| LAURA JEAN PROTIC | — | 1124750450 |
| JONATHON MITCHELL MAXGAY | — | 1134853492 |
| JACQUELYN SQUARCIA | — | 1720703903 |
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.