Individual provider · Type 1 NPI
Marvin Walter Walchuk, C-PED
Specialist · Ronan, MT
NPI number
1710165741
Active
Practice location
42474 Addy Ln
Ronan, MT 59864-9023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 11293 (MT) |
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.
About NPI 1710165741
Marvin Walter Walchuk, C-PED's National Provider Identifier is 1710165741, issued on Jan 31, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ronan, MT. The record was last updated on Jan 31, 2008.