Search › Indiana › 207P00000X
Walter Jackson, MD
NPI 1902982796 · on the registry since 2006
Practice
- Address
- 10329 Greenoak Blvd
Fort Wayne, IN 46814 - Phone
- (260) 616-0681
- Fax
- (866) 513-3371
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
207P00000X
207P00000X
207P00000X - Licence states on file
- SC, GA, ND, CA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-05
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 Indiana