Individual
IAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235
(313) 966-1020
Mailing address
11315 W CLEMENTS CIR, LIVONIA, MI 48150-3158
(810) 357-7277
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101021923
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2015
Last updated
07/09/2018
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