Individual
EMILY REBECCA WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
309 E NORTH ST, WAUKESHA, WI 53188-3718
(414) 672-1353
(414) 672-4265
Mailing address
309 E NORTH ST, WAUKESHA, WI 53188-3718
(414) 672-1353
(414) 672-4265
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
64143-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700221991
—
WI
Enumeration date
05/01/2013
Last updated
07/21/2022
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