Individual
JAMES TYREILL WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
(734) 240-1997
Mailing address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
(734) 240-1997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101023968
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101023968
MI
Other
Enumeration date
05/22/2018
Last updated
03/06/2021
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