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Individual
PAUL ALLEN WALCK
Active
Individual
PAUL ALLEN WALCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA000930L
PA
363AM0700X
Medical Physician Assistant
OA000122L
PA
Other
Enumeration date
09/10/2005
Last updated
02/06/2026
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