National Provider Identifier Database

RANDALL R WALTER, MD – NPI #1275601916
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Contact Information

RANDALL R WALTER, MD
HENRY FORD HEALTH SYSTEM
19401 HUBBARD DRIVE
DEARBORN, MI  48126
Phone: 313-982-8370
Fax: 313-982-8165
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for RANDALL R WALTER

NPI Number 1275601916
Credentials MD
Entity Individual
Enumeration date 12/01/2006
Last updated 05/14/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 4301041028
  • MI Medicaid: 137318910
  • Other: 700H262300 BLUE CROSS-BLUE CROSS
  • Other: RW041028 CHAMPUS-CHAMPUS
  • Other: RW041028 COMMERCIAL-COMMERCIAL NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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