Walter K T Wong Md Sc

NPI 1033449533 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1033449533
Enumeration Date 01/05/2010
Last Updated 01/20/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WALTER K. T. WALTER
Position OWNER
Phone (414) 328-7646
Fax (414) 328-7699
Practice Location
2424 S 90TH ST
STE. 202
WEST ALLIS WI, 53227-2455, US
Phone (414) 328-7646
Fax (414) 328-7699
Business Location
2424 S 90TH ST
STE. 202
WEST ALLIS WI, 53227-2455, US
Phone (414) 328-7646
Fax (414) 328-7699
Toxanomy
Taxonomy Code 2084N0400X
License State Wisconsin
License Number 24079
Remove 1033449533 NPI Number
 

According to our database, Walter K T Wong Md Sc NPI is 1033449533, taxonomy code is 2084N0400X and license number is 24079, license state is located at Wisconsin. Walter K T Wong Md Sc physically located at 2424 S 90th St, West Allis WI, 53227-2455. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1033449533 NPI number is provided on an as is basis without warranty of any kind. 1033449533 is maintained by the National Plan & Provider Enumeration System. The contents of Walter K T Wong Md Sc are for informational purposes only.