Waltenberger, James M

Waltenberger, James M is an individual health care provider with primary practice located at 13250 Washington Ave , Mount Pleasant WI 53177-1516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Waltenberger, James M can be contacted via phone (888) 720-2012.

Contact Information

Primary practice address
13250 Washington Ave Mount Pleasant WI 53177-1516
Phone: (888) 720-2012
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 45831 Wisconsin

Profile Details

NPI number 1033129697
LBN Legal business name Waltenberger, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 3rd, 2023 - about 3 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 1033129697 NPPES
Wisconsin MEDICAID 34406900

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