# LARRY R WALTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HAND SURGERY CENTER OF SOUTHWEST MI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790989549
- **Authorized official:** DR. LARRY RAYMOND WALTON M.D. (OWNER)
- **Authorized official phone:** (269) 382-9900

## Contact information

- **Practice address:** 1220 WEST MILHAM AVE, PORTAGE, MI 49024-1206
- **Practice address phone:** (269) 382-9900
- **Practice address fax:** (269) 382-0700
- **Mailing address:** 1220 WEST MILHAM AVE, PORTAGE, MI 49024-1206
- **Mailing address phone:** (269) 382-9900
- **Mailing address fax:** (269) 382-0700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 039773 | MI | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | 039773 | MI | — |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 08/19/2011