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Individual

BENJAMIN WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6100 S LOUISE AVE STE 2100, SIOUX FALLS, SD 57108-6029
(605) 504-1100
(605) 504-1101
Mailing address
6100 S LOUISE AVE STE 2100, SIOUX FALLS, SD 57108-6029
(605) 504-1100
(605) 504-1101

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13638
SD
207X00000X
Orthopaedic Surgery Physician
5101022839
MI

Other

Enumeration date
05/31/2016
Last updated
07/29/2022
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