Individual
MICHAEL WALKENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 OLD YORK RD, SUITE 300, PHILADELPHIA, PA 19141
(215) 456-6950
(215) 456-1766
Mailing address
5401 OLD YORK RD, SUITE 300, PHILADELPHIA, PA 19141
(215) 456-6950
(215) 456-1766
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD026600E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007706230139
—
PA
Enumeration date
04/14/2006
Last updated
03/24/2015
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