| Doctor Name: | DR. STEVAN ANTHONY WALKOWSKI |
| NPI Number: | 1790865418 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O |
| License Number: | 34005061 |
| Business Practice Address: | 408 Parks Hall Athens, OH - 45701 |
| Business Phone Number: | 7405939303 |
| Business Fax Number: | |
| Mailing Address: | 408 Parks Hall, ATHENS |
| State: | OH |
| Postal Code: | 45701 |
| Phone Number: | 7405932447 |
| Fax Number: | 7405932422 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 09/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 34005061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |