Individual
DEIDRA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N MADISON AVE, BAY CITY, MI 48708-5926
(989) 895-2200
Mailing address
1010 N MADISON AVE, BAY CITY, MI 48708-5926
(989) 895-2200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106756
MI
Other
Enumeration date
11/05/2013
Last updated
10/07/2025
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