DR. ROBERT R WALL (NPI# 1548545510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548545510 |
| Entity Type | Individual |
| Full Name | DR. ROBERT R WALL |
| Credential | PHARM. D. |
| Practice Address |
702 Horizons Dr Marquette MI 49855-8880 |
| Practice Telephone | 9062816220 |
| Mailing Telephone | 9062816220 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302036243 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549631 | Robert W Wall | Physical Therapist | 129 W Lake Mead Pkwy Ste 2, Henderson, NV 89015-7055 | 2018-08-27 |
| 1972048130 | Robert Wall | Massage Therapist | 2910 Briarcliffe Rd, Winston Salem, NC 27106-3176 | 2016-12-27 |
| 1699099895 | Robert George Wall | Pharmacist | 177 Erie Blvd, Susquehanna, PA 18847-2791 | 2010-03-17 |
| 1972674372 | Robert E Wall | Dentist | 753 W Main St, Madison, IN 47250-3150 | 2006-11-10 |
| 1174602718 | Robert W. Wall | Family Medicine | 250 N Columbia Ave, Seward, NE 68434-2226 | 2006-11-03 |
| 1427095280 | Robert Brian Wall | Nurse Practitioner | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2006-06-01 |
| 1386627040 | Robert T Wall Jr. | Specialist | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2005-11-26 |
| 1003897224 | Robert Seth Wall | Psychiatry & Neurology | Naval Hospital Camp Pendleton, Building H-100, Camp Pendleton, CA 92055-5191 | 2005-11-07 |
| 1477543247 | Robert M Wall | Internal Medicine | 50 Cherry Hill Rd, Parsippany, NJ 07054-1113 | 2005-10-24 |
| 1114916004 | Robert E. Wall | Obstetrics & Gynecology | 2055 High St, Suite 140, Denver, CO 80205-5503 | 2005-10-14 |
| Street Address |
702 HORIZONS DR |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-8880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386208775 | Kenneth Paul Hruska | Pharmacist | 1680 County Road 492, Marquette, MI 49855-9634 | 2019-05-01 |
| 1760934848 | Kortni Susan Szukalowski | Pharmacist | 907 Pine St, Marquette, MI 49855-3632 | 2016-10-25 |
| 1730583451 | Tabitha Utych | Pharmacist | 3225 Us 41 West, Marquette, MI 49855 | 2014-10-09 |
| 1902208218 | Leslie Janelle Johnson | Pharmacist | 3630 Us Highway 41 W, Marquette, MI 49855 | 2014-09-17 |
| 1902150279 | Renee D Balding | Pharmacist | 3250 Us 41 W, Marquette, MI 49855-9483 | 2012-11-07 |
| 1902102270 | David Michael Demerse | Pharmacist | 3225 Us Highway 41 West, Marquette, MI 49855 | 2011-02-04 |
| 1083914568 | Erin Elizabeth Oneill | Pharmacist | 3250 U.S. 41, Marquette, MI 49855 | 2010-10-29 |
| 1750619524 | David John Campana | Pharmacist | 1711 Grandview Dr, Marquette, MI 49855-5067 | 2009-12-05 |
| 1598910861 | Jason Edward Thill | Pharmacist | 5091 Us 41 S, Marquette, MI 49855-9001 | 2008-11-29 |
| 1346421955 | Renee Rae Koski | Pharmacist | 418 W Magnetic St, Marquette, MI 49855-2711 | 2007-11-26 |
| Find all providers in MARQUETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.