MR. Walter Douglas Kolmodin, DPM

NPI #1265427645 in Granger, Indiana

Provider Information

NPI Number
1265427645
Entity Type
Individual
Name
MR. Walter Douglas Kolmodin, DPM
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Podiatrist
Credential
DPM
Enumeration Date
Sep 13, 2005
Last Updated
Jul 10, 2024

Practice Location

Address
14950 STATE ROAD 23
State
Indiana
ZIP Code
46530-7564
Phone
(574) 259-9668

Specialties & Taxonomy Codes

Specialty
Podiatrist

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