Amanda Marie Walter, M.D.
Pediatrics in Mooresville, IN. Individual provider (NPI-1).
NPI number1801187828
StatusActive
Last updated in NPPESSep 12, 2023
Details
- NPI
- 1801187828
- Entity type
- Individual (NPI-1)
- Name
- Amanda Marie Walter
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2011
- Certification date
- Sep 12, 2023
- Last updated
- Sep 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 01073953A | IN | Yes |
Other names
- Amanda Walter (Professional Name)
Practice location
1001 Hadley Rd # Ll050Mooresville, IN 46158-1883
Phone 317-834-3502 · Fax 317-834-3519
Mailing address
Po Box 781076Detroit, MI 48278-1076
Phone 317-528-4800 · Fax 317-865-1479
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Other Pediatrics Physician providers in Mooresville, IN
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- Megan Kristen Locke, DONPI 1174101075
- St Francis Medical Group MooresvilleNPI 1831366467
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