Individual
DR. STEPHANIE RAE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
733 ALGER ST SE, GRAND RAPIDS, MI 49507-3530
(616) 243-9513
Mailing address
733 ALGER ST SE, GRAND RAPIDS, MI 49507-3530
(616) 243-9513
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101018635
MI
Other
Enumeration date
06/30/2010
Last updated
03/15/2013
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