Individual
STEVEN G WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
727 N LINCOLN RD, ROCKVILLE, IN 47872-1117
(765) 569-1123
(765) 569-6412
Mailing address
PO BOX 2505, INDIANAPOLIS, IN 46206-2505
(812) 238-7783
(812) 238-4506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01034471
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200590
—
IN
01
—
110020283
RR MEDICARE
IN
01
—
P00448381
RR MEDICARE
IN
Enumeration date
11/02/2005
Last updated
10/18/2010
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