Individual
WILLIAM MICHAEL WALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE007120T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1960435
BLUE SHIELD MEDICAL PROVI
PA
01
—
2173149
AETNA
PA
01
—
324813
UPMC PROVIDER
PA
01
—
WA634207
BCBS
—
Enumeration date
04/20/2006
Last updated
01/29/2008
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