Individual
MR. ROBERT CHARLES WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7686
(262) 548-7656
Mailing address
614 CHEYENNE DR, WAUKESHA, WI 53188-4608
(262) 547-6036
(262) 547-6036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
419-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000084286
MEDICARE PART B
WI
05
—
39500600
—
WI
Enumeration date
12/19/2006
Last updated
07/07/2009
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