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Individual

DR. ADAM MICHAEL WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
6751 N 72ND ST, SUITE 105, OMAHA, NE 68122-1746
(402) 572-2020
(402) 572-2150
Mailing address
6751 N 72ND ST, SUITE 105, OMAHA, NE 68122-1746
(402) 572-2020
(402) 572-2150

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
02336
IA
152W00000X
Optometrist
Primary
1247
NE
152W00000X
Optometrist
3958
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37083
BCBS
NE
01
P00274869
RAILROAD MEDICARE
Enumeration date
07/07/2005
Last updated
07/08/2007
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