MEDICARE: MR. WALTER HARRY CULVER M.D.

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	207R00000X	Internal Medicine Physician	WC058404	MI
2	208000000X	Pediatrics Physician	WC058404	MI

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	:	1346240918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WALTER HARRY CULVER M.D.

Provider Business Mailing Address
First Line	:	1854 W AUBURN RD
Second Line	:	SUITE 100A
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-3868
Country	:	US
Telephone Number	:	248-696-3170
Fax Number	:	248-696-3175

Provider Business Practice Location Address
First Line	:	1854 W AUBURN RD
Second Line	:	SUITE 100A
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-3868
Country	:	US
Telephone Number	:	248-696-3170
Fax Number	:	248-696-3175

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	01/15/2014

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Directions to “ MR. WALTER HARRY CULVER M.D.” Practice Location

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