Individual provider · Type 1 NPI

Michelle D. Walter, PA

Medical Physician Assistant · Philadelphia, PA

NPI number 1124168745 Active

Practice location

5501 Old York Rd
Philadelphia, PA 19141-3018

Call (215) 456-6598 Map

Mailing address

1225 Waverly Walk
Philadelphia, PA 19147-1147

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X008209 (NY)
Medical Physician Assistant 363AM0700XMA052932 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1124168745

Michelle D. Walter, PA's National Provider Identifier is 1124168745, issued on Feb 7, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 27, 2010.