Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WALTER DOUGLAS KOLMODIN, DPM
ActiveMR. WALTER DOUGLAS KOLMODIN, DPM is a Podiatrist healthcare provider located in GRANGER, Indiana. NPI 1265427645 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · GRANGER, IN
Registration Details
- NPI Number
- 1265427645
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2005 (20.947958073762 yrs)
- Last Updated
- Jul 10, 2024
- License
-
07000902A (IN)
Practice Information
- Address
-
14950 STATE ROAD 23GRANGER, IN, 465307564Browse IN providers · Browse ZIP 46530
- Phone
- 5742599668
- Fax
- 5742599671
- Primary Specialty
-
Podiatrist
213E00000X
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.