Walker, Michael Jon

Walker, Michael Jon is an sole proprietor health care provider with primary practice located at 1515 Saint Francis Ave #100, Shakopee MN 55379-3387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Walker, Michael Jon can be contacted via phone (952) 403-3535.

Contact Information

Primary practice address
1515 Saint Francis Ave #100 Shakopee MN 55379-3387
Fax: (952) 403-3599
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 39710 Minnesota

Profile Details

NPI number 1467432716
LBN Legal business name Walker, Michael Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467432716 NPPES
Wisconsin MEDICAID 32369500

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