Provider Demographics
NPI:1750092003
Name:JAMES D WALKER II MD MEDICAL ARTS, PLLC
Entity type:Organization
Organization Name:JAMES D WALKER II MD MEDICAL ARTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:810-241-2970
Mailing Address - Street 1:8483 HOLLY RD
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-1840
Mailing Address - Country:US
Mailing Address - Phone:810-241-2970
Mailing Address - Fax:810-694-6955
Practice Address - Street 1:8483 HOLLY RD
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-1840
Practice Address - Country:US
Practice Address - Phone:810-694-7540
Practice Address - Fax:810-694-6955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty