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Contact Information

RANDALL R WALTER, MD
HENRY FORD HEALTH SYSTEM
19401 HUBBARD DRIVE
DEARBORN, MI48126
 Phone: 313-982-8370
 Fax: 313-982-8165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for RANDALL R WALTER · (Male)

NPI # 1275601916
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2006
Last updated 05/14/2008 - About 18 years ago
Sole proprietor 1 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(s) Not Available
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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