Individual provider · Type 1 NPI

Larry R. Walton

Specialist · Portage, MI

NPI number 1063440311 Active

Practice location

1220 West Milham Ave
Portage, MI 49024-1206

Call (269) 382-9900 Map

Fax (269) 382-0700

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier 335E00000X039773 (MI)
Specialist Primary 174400000X039773 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1063440311

Larry R. Walton's National Provider Identifier is 1063440311, issued on Jun 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portage, MI. The record was last updated on Aug 11, 2011.