Individual
DR. FREDERICK MARCUS WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2319 S 108TH ST, WEST ALLIS, WI 53227-1901
(414) 541-0055
(414) 541-1577
Mailing address
PO BOX 27036, WEST ALLIS, WI 53227
(414) 541-0055
(414) 541-1577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001143015
WI
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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