MICHAEL J WALT

BRADFORD, PA
NPI1902976707
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OS010755L)
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
-- MICHAEL J WALT DO
181 INTERSTATE PKWY
BRADFORD, PA 16701-1041
Phone number: 814-368-3123
Mailing Address
-- MICHAEL J WALT DO
PO BOX 159
BRADFORD, PA 16701-0159
Phone number: 814-368-3123
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