Individual
CHARLES J. WALKER
Active
Individual
CHARLES J. WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
02004140A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
35362-021
WI
208D00000X
General Practice Physician
02004140A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201136420
—
IN
05
—
30064200
—
WI
01
—
P01424274
RAIL ROAD PTAN
IN
Enumeration date
06/10/2005
Last updated
09/27/2015
Update your record
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