Individual
DR. JAN M WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4425 OLD RIDGE RD, WILLIAMSON, NY 14589-9363
(315) 483-3280
(315) 589-4893
Mailing address
4425 OLD RIDGE RD, WILLIAMSON, NY 14589-9363
(315) 483-3280
(315) 589-4893
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
185268
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01398636
—
NY
Enumeration date
08/14/2006
Last updated
12/07/2009
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