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NPI Code Detail

MEDICARE: DR. STANLEY D WALKER MD

MEDICARE: DR. STANLEY D WALKER 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
1207W00000XOphthalmology Physician27048MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750369492
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STANLEY D WALKER MD
Provider Business Mailing Address
First Line : 8401 GOLDEN VALLEY RD STE 330
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55427-4488
Country : US
Telephone Number : 763-416-7629
Fax Number : 763-383-4147
Provider Business Practice Location Address
First Line : 250 CENTRAL AVE N STE 107
Second Line :
City : WAYZATA
State : MN
Zip : 55391-1207
Country : US
Telephone Number : 763-416-7600
Fax Number : 763-416-7634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 03/18/2020

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