Susan Walter

NPI #1194273409 in Abingdon, Maryland

Provider Information

NPI Number: 1194273409
Entity Type: Individual
Name: Susan Walter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Sep 15, 2016
Last Updated: Sep 15, 2016

Practice Location

Address: 101 WALTER WARD BLVD
City: Abingdon
State: Maryland
ZIP Code: 21009-1210
Phone: (443) 409-0051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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