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Individual
MARTIN JOSEPH WALTSAK
Active
Individual
MARTIN JOSEPH WALTSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA14773
CA
363A00000X
Physician Assistant
Primary
PA14773
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01272666/DU4032
RAILROAD MEDICARE
CA
01
—
PA14773
MEDI CAL
CA
05
—
PA14773
—
CA
05
—
PA14773 - WILMINGTON
—
CA
Enumeration date
06/27/2006
Last updated
03/22/2023
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