Individual
JOHN NICHOLAS WALTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 COURT STREET, FAMILY MED, KEENE, NH 03431
(603) 354-5400
Mailing address
590 COURT STREET, FAMILY MED, KEENE, NH 03431
(603) 354-5400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8246
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE0614
—
VT
05
—
3074768
—
NH
Enumeration date
07/27/2006
Last updated
07/31/2018
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