Most Relevant Information
Provider Data
| NPI Number: | 1003310277 |
| Provider Name: | NICHOLAS EMMANUEL WALTER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2018 |
| Last Updated: | 07/23/2021 |
Provider Practice Location
EMERGENCY DEPARTMENT
35 MILES STREET
DAMARISCOTTA
ME
04543
Practice Location Phone/Fax
| Phone: | 2075634472 |
| Fax: |
Provider Mailing Location
EMERGENCY DEPARTMENT
35 MILES STREET
DAMARISCOTTA
ME
04543
Provider Mailing Phone/Fax
| Phone: | 2075634472 |
| Fax: |