Dawn K Walt, OD

NPI #1639210164 in Coopersville, Michigan

Provider Information

NPI Number: 1639210164
Entity Type: Individual
Name: Dawn K Walt, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Feb 9, 2007
Last Updated: Apr 29, 2008

Practice Location

Address: 692 W RANDALL ST
City: Coopersville
State: Michigan
ZIP Code: 49404-1306
Phone: (616) 837-6847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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