Doctor Name: | DR. MARK A WALKER |
NPI Number: | 1306819321 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301056472 |
Business Practice Address: | 215 E Mansion St Suite 3d Marshall, MI - 490681559 |
Business Phone Number: | 2697811183 |
Business Fax Number: | 2697819248 |
Mailing Address: | 215 E Mansion St, Suite 3d MARSHALL |
State: | MI |
Postal Code: | 490681559 |
Phone Number: | 2697811183 |
Fax Number: | 2697819248 |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 01/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 4301056472 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |