Individual
GREGORY T WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 S LIBERTY DR, BLOOMINGTON, IN 47403-5167
(812) 676-4300
(812) 676-4301
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01033828A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100167040
—
IN
Enumeration date
07/12/2005
Last updated
01/05/2016
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