Individual
DR. MARK A WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E MANSION ST, SUITE 3D, MARSHALL, MI 49068-1559
(269) 781-1183
(269) 781-9248
Mailing address
215 E MANSION ST, SUITE 3D, MARSHALL, MI 49068-1559
(269) 781-1183
(269) 781-9248
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301056472
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
4301056472
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130103
BCBS
MA
05
—
3131409
—
MI
01
—
P87680
BLUE CHOICE & BLUE CARE
MI
Enumeration date
02/09/2006
Last updated
01/28/2011
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