Individual
CALEB WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7782 20TH AVE, JENISON, MI 49428
(616) 685-8700
(616) 457-5567
Mailing address
7782 20TH AVE, JENISON, MI 49428-8524
(616) 685-8700
(616) 457-5567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301500557
MI
Other
Enumeration date
06/27/2016
Last updated
12/27/2021
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