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Mr. Walter Douglas Kolmodin, DPM
Podiatrist in Granger, Indiana
NPI 1265427645

Walter Douglas Kolmodin is a Podiatrist based in Granger, IN. Walter Douglas Kolmodin practices in Granger, IN and has the professional credentials of DPM. The NPI Number for Walter Douglas Kolmodin is 1265427645 and holds a License No. 07000902A (Indiana).

The current practice location address for Walter Douglas Kolmodin is 14950 State Road 23, Granger, IN and can be reached out via phone at 574-259-9668 and via fax at 574-259-9671.

Location: 14950 State Road 23, Granger, IN, 46530-7564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265427645
Provider Name
Walter Douglas Kolmodin
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
14950 State Road 23, Granger, IN, 46530-7564
Phone Number
574-259-9668
Fax Number
574-259-9671
Provider Enumeration Date
09/13/2005
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000262667 01 IN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
14950 State Road 23
City
Granger
State
Indiana
Zip
46530-7564
Phone Number
574-259-9668
Fax Number
574-259-9671
person
Provider Business Mailing Address Details
Address
14950 State Road 23
City
Granger
State
Indiana
Zip
46530-7564
Phone Number
574-259-9668
Fax Number
574-259-9671
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
07000902A (Indiana)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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