Individual
WALTER G STANWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 RESNIK RD, PLYMOUTH, MA 02360-4842
(781) 934-2400
(508) 746-3930
Mailing address
95 TREMONT ST, DUXBURY, MA 02332-4738
(781) 934-2350
(781) 934-5640
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
218962
MA
207X00000X
Orthopaedic Surgery Physician
Primary
218962
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017202
—
MA
01
—
P00053230
RAILROAD MEDICARE
MA
Enumeration date
02/13/2006
Last updated
06/01/2020
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