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Individual

MR. KONRAD PETER WALZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO

Contact information

Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
(718) 741-4569
Mailing address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
(718) 741-4569

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
224P00000X
Prosthetist

Other

Enumeration date
10/07/2008
Last updated
10/07/2008
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