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Individual

DR. DANA MARIE WALTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1542 TULANE AVE, NEW ORLEANS, LA 70112-2865
(504) 568-8655
Mailing address
118 SHERWOOD FOREST DR, NEW ORLEANS, LA 70119-3717
(504) 512-0332

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
15633R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04339
LA
Enumeration date
07/04/2006
Last updated
07/08/2007
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