Individual
MICHAEL WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 GREENVILLE BLVD SE STE 100, GREENVILLE, NC 27858-5733
(252) 917-5621
Mailing address
2700 S 48TH ST, MILWAUKEE, WI 53219-3217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10979-33
WI
363LF0000X
Family Nurse Practitioner
Primary
5018326
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
08/17/2023
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