Individual
MR. DAN R WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2219 GARFIELD ST, TWO RIVERS, WI 54241-2416
(920) 793-2927
Mailing address
1202 WESTWOOD LN, MANITOWOC, WI 54220-2335
(920) 686-0877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-3-16891
OH
183500000X
Pharmacist
Primary
WI11368
WI
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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