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NPI Code Detail

MEDICARE: MR. WALTER CHESTER MASON MSW

MEDICARE: MR. WALTER CHESTER MASON MSW
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1790924959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WALTER CHESTER MASON MSW
Provider Business Mailing Address
First Line : 634 W MITCHELL ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-3512
Country : US
Telephone Number : 414-383-4486
Fax Number : 414-383-4522
Provider Business Practice Location Address
First Line : 634 W MITCHELL ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-3512
Country : US
Telephone Number : 414-383-4486
Fax Number : 414-383-4522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2009
Last Update Date : 01/18/2026

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