Individual provider · Type 1 NPI

Walter Wayne Crum, MD

Student in an Organized Health Care Education/Training Program · Dorchester, MA

NPI number 1427808476 Active

Practice location

2100 Dorchester Ave
Dorchester, MA 02124-5615

Mailing address

1881 N 115th Plz Apt 3813
Omaha, NE 68154-4635

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1427808476

Walter Wayne Crum, MD's National Provider Identifier is 1427808476, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dorchester, MA. The record was last updated on Mar 25, 2024.