Individual
DR. RICHARD GREEN WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8706
Mailing address
32757 WHITE OAKS TRL, BEVERLY HILLS, MI 48025-2563
(800) 764-7297
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
056665
GA
2085R0202X
Diagnostic Radiology Physician
056665
GA
2085R0202X
Diagnostic Radiology Physician
Primary
5101009247
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009247
MI MEDICAL LICENSE
MI
01
—
056665
GA MEDICAL LICENSE#
GA
Enumeration date
04/06/2006
Last updated
09/11/2025
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