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Individual
WALTER BARRY COLEMAN
Active
Individual
WALTER BARRY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901000563
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0621950001
NPIN DME
—
05
—
1002476
—
MI
01
—
55051630
BCBS
MI
Enumeration date
12/13/2005
Last updated
09/20/2007
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