Organization
MICHAEL L. WALKER, DDS, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LOUIS WALKER DDS (OWNER)
(319) 364-2413
Entity
Organization
Contact information
Practice address
1962 1ST AVE NE, CEDAR RAPIDS, IA 52402-5330
(319) 364-2413
Mailing address
1962 1ST AVE NE, CEDAR RAPIDS, IA 52402-5330
(319) 364-2413
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215939
—
IA
01
—
834228
UNITED CONCORDIA
—
Enumeration date
05/19/2008
Last updated
05/19/2008
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