Individual
ERICH WERNER WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15700 MICHIGAN AVENUE, DEARBORN, MI 48126-2903
(313) 582-4334
Mailing address
15700 MICHIGAN AVENUE, DEARBORN, MI 48126-2903
(313) 582-4334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004603
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11291535
CAQH
MI
05
—
1837386
—
MI
01
—
95OH25106
BCBSM
MI
Enumeration date
10/28/2006
Last updated
08/11/2010
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