Individual
DR. THOMAS STUART WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(715) 284-5150
Mailing address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(715) 284-5150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38196
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110190312
PALMETTO GBA
WI
05
—
32437200
—
WI
01
—
53592
SECURITY HEALTH PLAN
WI
Enumeration date
10/04/2006
Last updated
02/01/2022
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