Individual
DUSTIN M WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8063
(860) 679-8080
(860) 667-9143
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8063
(860) 679-8080
(860) 667-9143
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101256181
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
076337
CT
390200000X
Student in an Organized Health Care Education/Training Program
0116019584
VA
Other
Enumeration date
06/18/2007
Last updated
01/19/2024
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