Individual
MR. MARVIN WALTER WALCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C-PED
Contact information
Practice address
42474 ADDY LN, RONAN, MT 59864-9023
(406) 261-4710
Mailing address
42474 ADDY LN, RONAN, MT 59864-9023
(406) 261-4710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11293
MT
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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