Individual
PAUL A WALKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1827 MILAN RD, SANDUSKY, OH 44870-4102
(419) 627-1731
(419) 621-1791
Mailing address
1827 MILAN RD, SANDUSKY, OH 44870-4102
(419) 627-1731
(419) 621-1791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13997
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341254897026
—
OH
Enumeration date
05/17/2007
Last updated
07/08/2007
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