Walter, Mark W
Walter, Mark W is an individual health care provider with primary practice located at 1690 Elm St Ste 300 , Dubuque IA 52001-3679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Walter, Mark W can be contacted via phone (563) 690-2850.Contact Information
Primary practice address
1690 Elm St Ste 300
Dubuque IA 52001-3679
Phone: (563) 690-2850
Fax: (563) 582-5335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD-48932 | Iowa |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 72459 | Minnesota |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 7585A | Wyoming |
Profile Details
| NPI number | 1205910643 |
|---|---|
| LBN Legal business name | Walter, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Nov 7th, 2023 - about last year |
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 | 1205910643 | NPPES |
| Minnesota | Other | 72459 | STATE MEDICAL LICENSE |
| Minnesota | Other | MD-48932 | STATE MEDICAL LICENSE |
| Minnesota | Other | 7585A | STATE MEDICAL LICENSE |
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