Individual
DR. MARISA ANNE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
7205 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(317) 849-0110
(317) 845-8845
Mailing address
7205 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(317) 849-0110
(317) 845-8845
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12009571A
IN
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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