Walter Lee Irving D.O.

NPI 1528087756 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1528087756
Gender Male
Enumeration Date 07/19/2006
Last Updated 06/16/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1925 BRETON RD SE
GRAND RAPIDS MI, 49506-4810, US
Phone (616) 252-4100
Fax (616) 252-4953
Business Location
1925 BRETON RD SE
GRAND RAPIDS MI, 49506-4810, US
Phone (616) 252-4100
Fax (616) 252-4953
Toxanomy
Taxonomy Code 207V00000X
License State Michigan
License Number 5101006557
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According to our database, Dr. Walter Lee Irving D.O. NPI is 1528087756, taxonomy code is 207V00000X and license number is 5101006557, license state is located at Michigan. Walter Lee Irving D.O. physically located at 1925 Breton Rd Se, Grand Rapids MI, 49506-4810. NPI Number Walter Lee Irving D.O. has the Individual type.

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1528087756 NPI number is provided on an as is basis without warranty of any kind. 1528087756 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Lee Irving D.O. are for informational purposes only.