Individual
WALTER G WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1239 E 4TH ST RD, SEYMOUR, IN 47274-1839
(812) 524-3338
(812) 524-3337
Mailing address
7301 E 90TH ST, STE 112, INDIANAPOLIS, IN 46256-1282
(317) 773-7787
(317) 773-2226
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000678
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092305
BCBS
IN
05
—
100140790A
—
IN
01
—
380042P
SIHO
IN
01
—
480024209
PALMETTO GBA RAILROAD
IN
01
—
508770008
MEDICARE 2016
—
Enumeration date
08/19/2006
Last updated
03/06/2020
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