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NPI Code Detail

MEDICARE: WILLIAM F WALTZ MD

MEDICARE: WILLIAM F WALTZ 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
1208000000XPediatrics Physician35917IA
2208000000XPediatrics Physician47589MN
32080P0202XPediatric Cardiology Physician4079SD

General Provider Information

NPI Number : 1649226986
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM F WALTZ MD
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number : 605-328-6585
Fax Number : 605-328-6512
Provider Business Practice Location Address
First Line : 1600 W 22ND ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-1521
Country : US
Telephone Number : 605-312-1000
Fax Number : 605-312-1001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 03/31/2022

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Directions to “ WILLIAM F WALTZ MD” Practice Location

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