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Individual

DR. THOMAS STUART WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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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