Individual
DR. STEVEN M WALCZAK
Active
Individual
DR. STEVEN M WALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME70318
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379802000
—
FL
01
—
68794
BCBS
FL
01
—
68794V
MEDICARE PTAN OHRI
FL
01
—
PS368
MEDICARE PTAN OHMG
FL
Enumeration date
09/27/2005
Last updated
03/28/2023
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