Dr SAMUEL T WALLER is a male medical professional, specializing in Neurosurgery. He graduated in 2008 from Georgetown University Of Medicine.
ASPIRUS CLINICS INC
425 PINE RIDGE BLVD
305B
WAUSAU
WI
544014124
Tel: 7178472036
| Npi | 1053583211 |
| Pac Id | 8022332881 |
| Professional Enrollment Id | I20150724010579 |
| Last Name | WALLER |
| First Name | SAMUEL |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | NEUROSURGERY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ASPIRUS CLINICS INC |
| Group Practice Pac Id | 1052223625 |
| Number Of Group Practice Members | 180 |
| Line 1 Street Address | 425 PINE RIDGE BLVD |
| Line 2 Street Address | 305B |
| Marker Of Address Line 2 Suppression | |
| City | WAUSAU |
| State | WI |
| Zip Code | 544014124 |
| Phone Number | 7178472036 |
| Hospital Affiliation Ccn 1 | 520030 |
| Hospital Affiliation Lbn 1 | ASPIRUS WAUSAU HOSPITAL |
| Hospital Affiliation Ccn 2 | 520202 |
| Hospital Affiliation Lbn 2 | ASCENSION ST CLARES HOSPITAL |
| Hospital Affiliation Ccn 3 | 520019 |
| Hospital Affiliation Lbn 3 | MINISTRY SAINT MARYS HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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