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Individual

DR. DAVID J WALICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5458
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5458

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47068-020
WI

Other

Enumeration date
12/11/2006
Last updated
06/20/2012
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