Provider Information for 1659935542
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Mr. WALTER I ZEICHNER MA
Sex: Male
NPI: 1659935542
Last Updated: 2019-04-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1659935542 | ||||||||
| Enumeration Date | 2019-04-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 985 SW DISK DR BEND, OR 97702-3655 United States Phone: 802-232-4205 | Fax:866-871-8691 | ||||||||
| Primary Practice Address | 60980 BACHELOR VIEW RD BEND, OR 97702-9138 United States Phone: 802-232-4205 | Fax:866-871-8691 | ||||||||
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