Individual
DR. MADELINE M WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
231 LAWN STREET, MODERN TOUCH DENTAL, HARTLAND, WI 53029
(262) 367-2771
Mailing address
1910 NORHARDT DR, #110, BROOKFIELD, WI 53045-5089
(319) 321-2070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7124-15
WI
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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