DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY JANE WALTER, D.P.M.

Active Sole Proprietor

DR. MARY JANE WALTER, D.P.M. is a Radiology Podiatrist healthcare provider located in PALM COAST, Florida. NPI 1821105859 is currently active in the NPPES registry. Verify at CMS.

Radiology Podiatrist · PALM COAST, FL

Registration Details

NPI Number
1821105859
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2006 (19.99784458283 yrs)
Last Updated
Mar 29, 2012
Licenses
PO-1735 (FL)
PO-1735 (FL)
PO1735 (FL)
PO1735 (FL)
PO1735 (FL)
Sole Proprietor
Yes

Practice Information

Address
11 FLORIDA PARK DR
PALM COAST, FL, 32137
Browse FL providers · Browse ZIP 32137
Phone
3864454734
Fax
3864458411
Primary Specialty
Radiology Podiatrist
213EP1101X
Additional Specialty
Radiology Podiatrist
Additional Specialty
Radiology Podiatrist
Additional Specialty
Sports Medicine Podiatrist

Other Radiology Podiatrist Providers in PALM COAST, FL

Name Credential NPI
ERIC WILLIAM FREILER DPM 1811379605
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.