Individual
MICHAEL LOUIS WALKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1962 FIRST AVE NE, CEDAR RAPIDS, IA 52402
(319) 364-2413
Mailing address
1962 FIRST AVE NE, CEDAR RAPIDS, IA 52402
(319) 364-2413
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6956
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215939
—
IA
Enumeration date
12/05/2005
Last updated
07/08/2007
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