Individual
MR. WALTER VINCENT HAMILTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN;CRNA
Contact information
Practice address
818 RIVERSIDE AVE, ADRIAN, MI 49221-1446
(517) 265-0900
Mailing address
5795 STONEY BROOK RD, KALAMAZOO, MI 49009-7700
(269) 217-4781
(269) 327-3168
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704222557
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N37190
GRP BCBS NUMBER
MI
Enumeration date
06/07/2006
Last updated
03/14/2013
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