MR. Michael A Walls, IDC

NPI #1932383593 in Indian Head, Maryland

Provider Information

NPI Number
1932383593
Entity Type
Individual
Name
MR. Michael A Walls, IDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Dec 19, 2007
Last Updated
Dec 19, 2007

Practice Location

Address
3399 STRAUSS AVE
Address 2
SUITE 219
ZIP Code
20640-5164
Phone
(301) 744-2055

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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