Individual
DR. DAN WALTER WALCHAK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
750 MAPLE MANOR DR, GAYLORD, MI 49735-9595
(989) 732-5006
Mailing address
750 MAPLE MANOR DR, GAYLORD, MI 49735-9595
(989) 732-5006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901010500
MI
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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