Individual
DR. DANIELLE NICOLE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
200 RICHMOND AVE E STE 2, MATTOON, IL 61938-4652
(217) 234-7000
(217) 238-5484
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036167504
IL
207Q00000X
Family Medicine Physician
69116
WI
Other
Enumeration date
03/25/2015
Last updated
12/18/2023
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