Individual
MARIAN RUTH WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4415
(563) 584-4256
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02044
IA
152W00000X
Optometrist
046-008889
IL
152W00000X
Optometrist
2610-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014116
—
IA
Enumeration date
05/25/2006
Last updated
07/22/2011
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