Individual
JAMES M WALTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1516
(888) 720-2012
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(888) 720-2012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45831
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34406900
—
WI
Enumeration date
08/08/2006
Last updated
07/03/2023
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