NPI 1427550334

Michael Anthony Waltich, IDC

Practitioner Independent Duty Corpsman Pringle, PA

Practice location

Address: 82 Cooper Street, Pringle, PA 18704
Phone: (570) 574-2390
Mailing address: 695 Kinkaid Rd, Annapolis, MD 21402-1006

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1427550334
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2018
Record last updated: 6 Sep 2023

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.