Individual
NICOLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1340 S COMMERCE RD, WALLED LAKE, MI 48390-3010
(248) 438-6600
Mailing address
2800 WELCH RD, COMMERCE TOWNSHIP, MI 48390-4309
(706) 988-2434
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5151013788
GA
208D00000X
General Practice Physician
Primary
5101026831
MI
Other
Enumeration date
06/18/2019
Last updated
05/15/2022
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