Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 37074 | WI |
NPI | 1033198429 |
---|---|
Provider Name | Joy P Walker |
First Address | Rochester, MN 55905-0002 |
Second Address | Eau Claire, WI 54703-5270 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 31/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G76633 | (02) |