Individual
DR. WALTER ERIC LOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 MANATEE AVE W, SUITE 202, BRADENTON, FL 34205-8604
(941) 748-2455
(941) 750-9704
Mailing address
701 MANATEE AVE W, SUITE 202, BRADENTON, FL 34205-8604
(941) 748-2455
(941) 750-9704
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME102204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962739334
FL MEDICARE
FL
01
—
52026
BCBS FLORIDA
FL
Enumeration date
03/20/2006
Last updated
08/16/2016
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