Cynthia A Walters, PA-C

NPI #1770566911 in Portage, Wisconsin

Provider Information

NPI Number: 1770566911
Entity Type: Individual
Name: Cynthia A Walters, PA-C
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 22, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2817 NEW PINERY RD
Address 2: DIVINE SAVIOR HEALTHCARE INC
City: Portage
State: Wisconsin
ZIP Code: 53901-9257
Phone: (608) 742-4131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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