Individual
GARRETT D. WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
945 ROCKLEDGE DR, CHARLOTTESVILLE, VA 22908-9775
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, STE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101256017
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
06/29/2009
Last updated
08/12/2024
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