| Walton Medical Pc | |
|
4030 W Walton Blvd Waterford MI 48329-4174 | |
| (248) 674-0431 | |
| (248) 674-1573 |
| Full Name | Walton Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4030 W Walton Blvd, Waterford, Michigan |
| Authorized Official Name and Position | William Craig Crafton (PRESIDENT) |
| Authorized Official Contact | 2486740431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walton Medical Pc 4030 W Walton Blvd Waterford MI 48329-4174 Ph: (248) 674-0431 | Walton Medical Pc 4030 W Walton Blvd Waterford MI 48329-4174 Ph: (248) 674-0431 |
| NPI Number | 1194834325 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0042403552 |
|---|---|
| Medicare Enrollment ID | O20101015001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194834325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | WC008028 (Michigan) | Primary |
| Provider Name | Nicholas J Stepanski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023547429 PECOS PAC ID: 6002186152 Enrollment ID: I20200623001179 |
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