Individual
DR. JOHN E. WALZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1511 PARK AVE, COLUMBUS, WI 53925-2401
(920) 623-3040
(920) 623-2244
Mailing address
PO BOX 370, COLUMBUS, WI 53925-0370
(920) 623-3040
(920) 623-2244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21885
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005999
PHYSICIANS PLUS
WI
05
—
30477200
—
WI
01
—
391415680-00
UNITY HEALTH PLAN
WI
01
—
391415680-01
HERITAGE/JOHN DEERE
WI
01
—
391415680019
BLUE CROSS
WI
01
—
538607
DEAN HEALTH PLAN
WI
Enumeration date
05/11/2006
Last updated
07/08/2007
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