Healthcare Provider Details

I. General information

NPI: 1720021769
Provider Name (Legal Business Name): JOHN M WALKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 E STATE ROAD 44
FRANKLIN IN
46131-9199
US

IV. Provider business mailing address

106 S STATE ROAD 135 STE C
TRAFALGAR IN
46181-8702
US

V. Phone/Fax

Practice location:
  • Phone: 317-736-8474
  • Fax: 317-736-6040
Mailing address:
  • Phone: 317-878-4972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01040526
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: