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Individual
THOMAS H WALTER
Active
Individual
THOMAS H WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
DPM00211
RI
213E00000X
Podiatrist
Primary
P00337
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059393001
DMERC
CT
05
—
4061347
—
CT
Enumeration date
04/21/2006
Last updated
04/04/2011
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