Waltz, Gregory

Waltz, Gregory is an individual health care provider with primary practice located at 29500 Southfield Rd , Southfield MI 48076-2030. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Waltz, Gregory can be contacted via phone (248) 765-1795.

Contact Information

Primary practice address
29500 Southfield Rd Southfield MI 48076-2030
Phone: (248) 765-1795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704314350 Michigan

Profile Details

NPI number 1811659592
LBN Legal business name Waltz, Gregory
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2021
Last updated Oct 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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