Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY R WALTON
Active Sole ProprietorSpecialist · PORTAGE, MI
Registration Details
- NPI Number
- 1063440311
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2006 (19.853586297196 yrs)
- Last Updated
- Aug 11, 2011
- Licenses
-
039773 (MI)039773 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1220 WEST MILHAM AVEPORTAGE, MI, 490241206Browse MI providers · Browse ZIP 49024
- Phone
- 2693829900
- Fax
- 2693820700
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
Other Specialist Providers in PORTAGE, MI
| Name | Credential | NPI |
|---|---|---|
| MICHAEL C NAVE | MD | 1104810340 |
| MR. DAVID R AREAUX | PHYSICIAN ASSISTANT | 1740308964 |
| KIMBERLY CAROL CLARK | B.S. CMT | 1538593009 |
| REBECCA BRANCHEAU | LMT | 1972952182 |
| SAMANTHA KOHN | — | 1104277672 |
| HANNAH PATRICIA CHRISTENSEN | — | 1164873618 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.