Individual
MICHAEL DICKINSON WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11900 N PENNSYLVANIA STREET, SUITE 100, CARMEL, IN 56032-4694
(317) 846-0717
(317) 846-0557
Mailing address
PO BOX 2303 DEPT 163, INDIANAPOLIS, IN 46206-2303
(800) 634-4064
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01069551A
IN
2085R0202X
Diagnostic Radiology Physician
11014028A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201027220
—
IN
01
—
P00966892
RAILROAD MEDICARE
IN
Enumeration date
06/27/2008
Last updated
08/15/2012
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