Individual
DR. ARI PHILIP WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4895 RIVERBEND RD STE A, BOULDER, CO 80301-2640
(720) 279-9098
Mailing address
650 STEWART RD, MONROE, MI 48162-4222
(734) 240-8430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301506226
MI
207Q00000X
Family Medicine Physician
4351045646
MI
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
4301506226
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351045646
MI
Other
Enumeration date
06/25/2019
Last updated
01/23/2024
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