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Individual

ALAN JAMES WALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
116 MONROE ST, BEAVER DAM, WI 53916-2437
(920) 887-1153
(920) 887-1044
Mailing address
PO BOX 975, 2200 NORTH KIMBALL, SUITE 700, MITCHELL, SD 57301-0975
(605) 996-1159
(605) 996-2978

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27838 - 020
WI

Other

Enumeration date
01/23/2006
Last updated
04/16/2013
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