Marcine Renee Walter, P.A.-C.

NPI #1245301597 in Riverview, Michigan

Provider Information

NPI Number: 1245301597
Entity Type: Individual
Name: Marcine Renee Walter, P.A.-C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C.
Enumeration Date: Nov 10, 2006
Last Updated: Aug 26, 2008

Practice Location

Address: 19020 FORT ST
City: Riverview
State: Michigan
ZIP Code: 48193-6701
Phone: (734) 362-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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