Individual
MICHELLE M WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8223
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
266685
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
266685
NY
208000000X
Pediatrics Physician
266685
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03777608
—
NY
Enumeration date
06/25/2008
Last updated
02/12/2021
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