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1063473973
MICHAEL C WALTERS
PORTAGE, WI
NPI
1063473973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WI 43499)
Enumeration Date
2006-03-30
Last Update Date
2012-10-12
Business Address
-- MICHAEL C WALTERS MD
2817 NEW PINERY RD
PORTAGE, WI 53901-9240
Phone number: 608-745-5689
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Mailing Address
-- MICHAEL C WALTERS MD
2817 NEW PINERY ROAD DIVINE SAVIOR HEALTHCARE
PORTAGE, WI 53901-0387
Phone number: 608-745-5689
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