Individual
MR. MICHAEL DOUGLAS WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19771 COAL HERITAGE RD, WELCH, WV 24801-9825
(304) 436-6650
Mailing address
PO BOX 1650, PINEVILLE, WV 24874-1650
(304) 732-6735
(304) 732-9218
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001001934
NC
Other
Enumeration date
08/21/2009
Last updated
05/31/2018
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