Individual
PENNY L WALTMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
601 JOHN ST, STE M351, BRONSON WOMENS SERVICES, KALAMAZOO, MI 49007
(269) 341-7979
(269) 341-6261
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007
(269) 341-7806
(269) 341-8743
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704112162
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073870
—
MI
Enumeration date
01/19/2006
Last updated
07/08/2007
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