MEDICARE: MR. MICHAEL ERIC WALTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35060958	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326088238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL ERIC WALTON MD

Provider Business Mailing Address
First Line	:	906 N MAIN STREET
Second Line	:	PO BOX 319
City	:	ARLINGTON
State	:	OH
Zip	:	45814
Country	:	US
Telephone Number	:	419-365-5153
Fax Number	:	419-365-0081

Provider Business Practice Location Address
First Line	:	906 N MAIN STREET
Second Line	:
City	:	ARLINGTON
State	:	OH
Zip	:	45814
Country	:	US
Telephone Number	:	419-365-5153
Fax Number	:	419-365-0081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	02/08/2008

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