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Contact Information

FREDERICK C WALTERS, MD
1298 GROW AVE NW
BAINBRIDGE ISLAND, WA98110
 Phone: 206-780-5437
 Fax: 206-780-5438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for FREDERICK C WALTERS · (Male)

NPI Number 1659429793
Status Active
Credentials MD
Entity Individual
Enumeration date 01/08/2007
Last updated 06/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00040201
  • WA Medicaid 8369928
  • WA Other US7740466 AETNA SPECIALIST PIN
  • WA Other 7675WA BLUE SHIELD #
  • WA Other 0039577 LABOR AND INDUSTRIES #
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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