Larry R Walton

NPI 1063440311 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1063440311
Gender Male
Enumeration Date 06/28/2006
Last Updated 08/11/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1220 WEST MILHAM AVE
PORTAGE MI, 49024-1206, US
Phone (269) 382-9900
Fax (269) 382-0700
Business Location
1220 WEST MILHAM AVE
PORTAGE MI, 49024-1206, US
Phone (269) 382-9900
Fax (269) 382-0700
Toxanomy
Taxonomy Code 335E00000X
License State Michigan
License Number 039773
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According to our database, Larry R Walton NPI is 1063440311, taxonomy code is 335E00000X and license number is 039773, license state is located at Michigan. Larry R Walton physically located at 1220 West Milham Ave, Portage MI, 49024-1206. NPI Number Larry R Walton has the Individual type.

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1063440311 NPI number is provided on an as is basis without warranty of any kind. 1063440311 is maintained by the National Plan & Provider Enumeration System. The contents of Larry R Walton are for informational purposes only.