Individual
WALTER HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-2661
(317) 528-5149
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01051083
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200500040
—
IN
Enumeration date
08/30/2006
Last updated
09/28/2023
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