Individual
JOEL WALTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
Mailing address
1219 GUSDORF RD, STE A, TAOS, NM 87571-6499
(575) 758-0009
(575) 758-8656
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A-2490-21
NM
Other
Enumeration date
09/16/2014
Last updated
07/14/2021
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