Whalio Doctors

NPI 1174503981

Henry Lane Walters, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Detroit, MI

Practice location

Address
3901 Beaubien St, Detroit, MI 48201-2119
Phone
(313) 745-5538
Fax
(313) 993-0531
Mailing address
PO Box 441097, Detroit, MI 48244-1097

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 430105916 (MI)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 4301059126 (MI)

Registry record

NPI
1174503981
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jan 2006
Record last updated
18 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.