MEDICARE: WALTER KARL ESKILDSEN 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	208600000X	Surgery Physician	20429	NE
2	208600000X	Surgery Physician	0427377	KS

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	:	1598731069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WALTER KARL ESKILDSEN MD

Provider Business Mailing Address
First Line	:	1401 EAST H STREET
Second Line	:	SUITE B
City	:	MCCOOK
State	:	NE
Zip	:	69001-3432
Country	:	US
Telephone Number	:	308-345-7878
Fax Number	:	308-345-7879

Provider Business Practice Location Address
First Line	:	1401 EAST H STREET
Second Line	:	SUITE B
City	:	MCCOOK
State	:	NE
Zip	:	69001-3432
Country	:	US
Telephone Number	:	308-345-7878
Fax Number	:	308-345-7879

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

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	07/08/2007

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