MEDICARE: DR. WALTER A. KLATT 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	35065024	OH

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	:	1689667818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER A. KLATT M.D.

Provider Business Mailing Address
First Line	:	3614 MANCHESTER RD STE 101
Second Line	:
City	:	COVENTRY TOWNSHIP
State	:	OH
Zip	:	44319-2160
Country	:	US
Telephone Number	:	330-644-2234
Fax Number	:	330-644-7116

Provider Business Practice Location Address
First Line	:	3614 MANCHESTER RD
Second Line	:	SUITE 101
City	:	AKRON
State	:	OH
Zip	:	44319-2159
Country	:	US
Telephone Number	:	330-644-2234
Fax Number	:	330-644-7116

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	11/07/2025

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