Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 01066444A | IN |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 0106644A | IN |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301069170 | MI |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | M14301069170 | MI |
N | 207YP0228X | Pediatric Otolaryngology | 01066444A | IN |
N | 207YP0228X | Pediatric Otolaryngology | 4301069170 | MI |
N | 207YS0123X | Facial Plastic Surgeon | 01066444A | IN |
N | 207YS0123X | Facial Plastic Surgeon | 4301069170 | MI |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 4301069170 | MI |
NPI | 1184609679 |
---|---|
Provider Name | Dr. Margaret Ann Walter |
First Address | Mishawaka, IN 46545 |
Second Address | Mishawaka, IN 46545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 11/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0M78700 | (02) | MI |
3322302 | (05) | MI |
F32970 | (02) |