Individual
WILLIAM J WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1179 E PARIS AVE SE, SUITE 220, GRAND RAPIDS, MI 49546-3682
(616) 454-2004
(616) 454-0061
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101011070
MI
Other
Enumeration date
07/07/2005
Last updated
01/12/2012
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