Individual
DR. GRACE LEE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
476 BUCKEYE ST, TERRE HAUTE, IN 47804-4079
(812) 232-2683
(812) 877-4620
Mailing address
476 BUCKEYE ST, TERRE HAUTE, IN 47804-4079
(812) 232-2683
(812) 877-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031945
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01031945
PHYSICIAN LICENSE
IN
05
—
100251460
—
IN
01
—
1134123607
NPI
IN
Enumeration date
06/11/2005
Last updated
01/22/2015
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