Eric Thomas Walchak in Wyoming - Cardiovascular Disease

Eric Thomas Walchak - NPI 1962493395

Eric Thomas Walchak is a Cardiovascular Disease in Wyoming, Michigan. Eric Thomas Walchak practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Eric Thomas Walchak is 1962493395. The last update date is 2017-10-17.

Eric Thomas Walchak's current location address is 2122 Health Dr Sw, Wyoming, Michigan. You can contact this provider via phone number 6162525950 and fax number 6162525956. The mailing address for Eric Thomas Walchak is 2122 Health Dr Sw, Wyoming, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Thomas Walchak
Address 2122 Health Dr Sw, Wyoming, Michigan
Phone Number 6162525950
Fax Number 6162525956
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1962493395
Provider Enumeration Date 2005-11-03
Last Updated Date 2017-10-17

Provider Mailing Address Detail

Address 2122 Health Dr Sw
City Wyoming
State Michigan (MI)
Post Code 495199698
Phone Number 6162525950
Fax Number 6162525956

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 5101013546
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4618795 MI --
5101013546 MI STATE LICENSE
EW013546 MI BCBSM PIN
P00145080 MI RAILROAD MEDICARE

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FAQs about Eric Thomas Walchak

What is the Eric Thomas Walchak's 1962493395?

The Eric Thomas Walchak's NPI (National Provider Identifier) Number is 1962493395. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Eric Thomas Walchak is physically located?

The Eric Thomas Walchak is situated at the following address: 2122 Health Dr Sw, Wyoming, MI 495199698.

What is the area of specialization for Eric Thomas Walchak, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Eric Thomas Walchak is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0000X.

On what date did the Eric Thomas Walchak receive its 1962493395 assignment from the Centers for Medicare & Medicaid Services?

The Eric Thomas Walchak was assigned its 1962493395 by the Centers for Medicare & Medicaid Services on 2005-11-03.

As of what date was the information pertaining to Eric Thomas Walchak, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Eric Thomas Walchak, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-10-17.

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