Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL GLEN WALTON, M.D.
ActiveCardiovascular Disease · SHREVEPORT, LA
Registration Details
- NPI Number
- 1255321881
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2005 (20.539621930413 yrs)
- Last Updated
- Dec 9, 2021
- License
-
MD.021647 (LA)
Practice Information
- Address
-
1453 E BERT KOUN LOOP STE 112SHREVEPORT, LA, 711056810Browse LA providers · Browse ZIP 71105
- Phone
- 3187989400
- Fax
- 3187954656
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
Other Cardiovascular Disease Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. SANDERS FOWLER HEARNE | M.D. | 1669472155 |
| DR. WILLIAM HOWARD HAYNIE JR. | M.D. | 1588664080 |
| DR. RALPH WILLARD BAUCUM III | M.D. | 1295735793 |
| DR. ALBERT NOLEN KRAUSE | M.D. | 1093715591 |
| DR. MICHAEL HENRY GOOSZEN | M.D. | 1184624686 |
| DR. STUART LOUIS BLUM | MD | 1073509535 |
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.