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

GREGORY S WALLIN, MD

Active

GREGORY S WALLIN, MD is a Family Medicine healthcare provider located in BENTON HARBOR, Michigan. NPI 1790070803 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BENTON HARBOR, MI

Registration Details

NPI Number
1790070803
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2011 (15.181715563454 yrs)
Last Updated
Jan 26, 2024
Licenses
036134280 (IL)
036134280 (IL)

Practice Information

Address
1986 MALL PL
BENTON HARBOR, MI, 490222332
Browse MI providers · Browse ZIP 49022
Phone
2699455854
Fax
3699455854
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in BENTON HARBOR, MI

Name Credential NPI
LUIS F. DOMENECH M.D. 1275694242
DR. JOHN MACCART MD 1396892634
DR. MARY MARGARET WOLF MD 1386791622
CHRISTOPHER BRIAN CURRIE 1508353459
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.