Individual
JESSE G WALKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
4005 ORCHARD DR, MIDLAND, MI 48670-0001
(989) 839-3100
(989) 839-1393
Mailing address
PO BOX 1903, MIDLAND, MI 48641-1903
(989) 839-1941
(989) 794-5935
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301054533
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2956381
—
MI
Enumeration date
06/12/2006
Last updated
07/08/2007
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