MEDICARE: BENJAMIN J 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	54790	WI
2	207LP3000X	Pediatric Anesthesiology Physician	60003993	WA
3	207LP3000X	Pediatric Anesthesiology Physician	54790	WI
4	207L00000X	Anesthesiology Physician	54790	WI

General Provider Information

NPI Number	:	1982734695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN J WALKER MD

Provider Business Mailing Address
First Line	:	600 HIGHLAND AVE B6/319 CLINICAL SCIENCES CENTER
Second Line	:	DEPT OF ANESTHESIOLOGY
City	:	MADISON
State	:	WI
Zip	:	53792
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 HIGHLAND AVE
Second Line	:	B6/319 CLINICAL SCIENCES CENTER
City	:	MADISON
State	:	WI
Zip	:	53792-3272
Country	:	US
Telephone Number	:	608-263-8100
Fax Number	:	608-263-8111

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

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	05/07/2019

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