Walker, Roderick
Walker, Roderick is an individual health care provider with primary practice located at 2050 N Haggerty Rd Suite 100, Canton MI 48187-3795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walker, Roderick can be contacted via phone (734) 981-1086.Contact Information
Primary practice address
2050 N Haggerty Rd Suite 100
Canton MI 48187-3795
Phone: (734) 981-1086
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301052529 | Michigan |
Profile Details
| NPI number | 1568430122 |
|---|---|
| LBN Legal business name | Walker, Roderick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Mar 14th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568430122 | NPPES |
| Michigan | MEDICAID | 103376072 | |
| Michigan | Other | 080111824 |
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