Individual
DR. MARC A. WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
125 MAIN ST, WELLSBORO, PA 16901-1414
(814) 435-8200
Mailing address
PO BOX 111, GALETON, PA 16922
(570) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007867L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054233
MEDICARE
PA
Enumeration date
07/08/2005
Last updated
05/06/2019
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