Organization
SELF-ISH RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANNON RAE MARTIN WALKER PA-C (OWNER/AUTHORIZED OFFICIAL)
(219) 877-9353
Entity
Organization
Contact information
Practice address
219 E 9TH ST, MICHIGAN CITY, IN 46360-3523
(219) 877-9353
Mailing address
5475 BROADWAY UNIT A300, MERRILLVILLE, IN 46410-1647
(219) 877-9353
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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