SearchWisconsin152W00000X

Gary Walters, O.D

NPI 1285763060 · on the registry since 2007 · sole proprietor

Practice

Address
W62n221 Washington Ave
Cedarburg, WI 53012
Phone
(262) 377-9686
Fax
(262) 377-8462

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152WL0500X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin