Walter E Brackelmanns Md Inc

NPI 1538320114 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1538320114
Enumeration Date 06/17/2008
Last Updated 06/17/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name WALTER E WALTER
Position PRESIDENT
Phone (818) 990-1225
Fax (818) 990-7070
Practice Location
14419 RIVERSIDE DR
SHERMAN OAKS CA, 91423-1713, US
Phone (818) 990-1225
Fax (818) 990-7070
Business Location
14419 RIVERSIDE DR
SHERMAN OAKS CA, 91423-1713, US
Phone (818) 990-1225
Fax (818) 990-7070
Toxanomy
Taxonomy Code 251S00000X
License State California
License Number G6575
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According to our database, Walter E Brackelmanns Md Inc NPI is 1538320114, taxonomy code is 251S00000X and license number is G6575, license state is located at California. Walter E Brackelmanns Md Inc physically located at 14419 Riverside Dr, Sherman Oaks CA, 91423-1713. NPI Number 1033115704 has the healthcare provider type.

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1538320114 NPI number is provided on an as is basis without warranty of any kind. 1538320114 is maintained by the National Plan & Provider Enumeration System. The contents of Walter E Brackelmanns Md Inc are for informational purposes only.