Individual
DR. STEVAN WALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
191 W UNION ST STE 127, ATHENS, OH 45701-2732
(740) 592-7010
(740) 592-7011
Mailing address
191 W UNION ST STE 127, ATHENS, OH 45701-2732
(740) 592-7010
(740) 592-7011
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
34.005061CRT
OH
208D00000X
General Practice Physician
34005061
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0834360
—
OH
Enumeration date
10/17/2006
Last updated
09/08/2023
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