Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | DOO20463 | MD |
Y | 208600000X | Surgeon | DOO20463 | MD |
NPI | 1003926726 |
---|---|
Provider Name | Dr. Frederick William Walker |
First Address | Forest Hill, MD 21050-2621 |
Second Address | Forest Hill, MD 21050-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C49340 | (02) | MD |