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Individual

JEFFREY W WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1010 S MAIN ST STE 200, TIPTON, IN 46072-9806
(765) 675-1400
(765) 675-1401
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057663
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000623509
ANTHEM
IN
05
200430110
IN
Enumeration date
10/24/2006
Last updated
03/06/2026
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