Individual
KATHERINE L WALCZAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1370 WASHINGTON PIKE, SUITE 107, BRIDGEVILLE, PA 15017-2839
(412) 221-0160
(412) 221-0860
Mailing address
1370 WASHINGTON PIKE, SUITE 107, BRIDGEVILLE, PA 15017-2839
(412) 221-0160
(412) 221-0860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD051470L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014923950003
—
PA
Enumeration date
08/03/2005
Last updated
07/08/2007
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