Johnny Walker Jr.
Driver in Milwaukee, WI. Individual provider (NPI-1).
NPI number1407976012
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1407976012
- Entity type
- Individual (NPI-1)
- Name
- Mr. Johnny Walker Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | W4264205140705 | WI | Yes |
Other names
- Johnny Walker (Professional Name)
Practice location
4523 W Medford AveMilwaukee, WI 53216-3448
Phone 414-445-3373 · Fax 414-873-3299
Mailing address
4523 W Medford AveMilwaukee, WI 53216-3448
Phone 414-445-3373 · Fax 414-873-9296
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 172 Driver providers in Milwaukee · All 23,880 providers in Milwaukee
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