Individual
DR. SHAWN T K WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 4TH AVE S, WISHEK, ND 58495-0617
(701) 452-2364
Mailing address
PO BOX 746, WISHEK, ND 58495-0746
(701) 452-2919
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7304
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010985
PREFERRED ONE
ND
01
—
1320584
AMERICA'S PPO
ND
01
—
13437
BSND @ WSK
ND
01
—
13439
BSND @ KULM
ND
01
—
13443
BSND @ GACKLE
ND
01
—
13444
BSND @ NAPOLEON
ND
05
—
18594
—
ND
05
—
18595
—
ND
05
—
5028
—
ND
05
—
5063
—
ND
05
—
5085
—
ND
05
—
5166
—
ND
Enumeration date
07/06/2006
Last updated
07/08/2007
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