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General NPI Number Information
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NPI Number | 1235450008
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Entity Type | Individual
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Provider Name | DAVID MATTHEW WALTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 2098 SOUTH MAIN STREET
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City | ANN ARBOR
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State | MI
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Zip | 48103-5827
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Country | US
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Telephone | 734-936-5780
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 S STATE ST
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City | ANN ARBOR
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State | MI
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Zip | 48108-1633
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Country | US
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Telephone | 734-647-5299
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 125-057809
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 4301110856
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301110856
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License Number State | MI
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