Individual
DR. WALTER E FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 S EDGEWOOD DR, KNOX, IN 46534-8226
(574) 772-2188
(574) 772-2190
Mailing address
1002 S EDGEWOOD DR, KNOX, IN 46534-8226
(574) 772-2188
(574) 772-2190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01024309A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083056
BLUE CROSS PIN NUMBER
IN
01
—
01024309A
WALTER FRITZ,M.D. LICENSE
IN
05
—
100225090A
—
IN
05
—
200020860A
—
IN
05
—
200897290
—
IN
01
—
351301967
TAX ID
IN
01
—
50000720A
CORPORATION LICENSE
IN
01
—
87-0778393
TAX IDENTIFICATION NUMBER
IN
Enumeration date
06/05/2006
Last updated
10/20/2020
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