Michael J Walter
GRANITE CITY CLINIC CORP


Address: 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034
Phone: 6187988405

Michael J Walter (NPI# 1629096359, PAC ID# 6305871401) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).

Physician Overview

Nation Provider ID (NPI) 1629096359
PAC ID by PECOS 6305871401
Professional Enrollment ID I20170824000003
Full Name Michael J Walter
Organization Legal Name GRANITE CITY CLINIC CORP
Address 4273 S State Route 159
Second Floor
Glen Carbon
IL 62034
Phone Number 6187988405
Gender M
Credential MD
Medical School SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1990
Primary Specialty CRITICAL CARE (INTENSIVISTS)
Group Practice PAC ID 6406747906
Number of Group Practice Members 29
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140125 GATEWAY REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 6187988405 GRANITE CITY CLINIC CORP
2044 Madison Ave, G5, Granite City, IL 62040-4641 6187988600 GRANITE CITY CLINIC CORP
2100 Madison Ave, Granite City, IL 62040-4713 6188331691 GRANITE CITY HOSPITALIST SERVICES LLC

Organization Information

Organization Legal Name GRANITE CITY CLINIC CORP
Physicians 26

Physicians with the same organization

Name Specialty Organization Address
Victoria A Cullen Clinical Social Worker Granite City Clinic Corp 2100 Madison Ave, Suite 201, Granite City, IL 62040-4713
Ashley Michelle Tyler Nurse Practitioner Granite City Clinic Corp 602 Farrish St, Madison, IL 62060-1567
Hasan Al-janabi Internal Medicine Granite City Clinic Corp 1261 University Dr E, Edwardsville, IL 62025-5587
Emily Cottrell Nurse Practitioner Granite City Clinic Corp 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034
Adam Joseph Rammacher Podiatry Granite City Clinic Corp 1261 University Dr A, Edwardsville, IL 62025-5587
Billie L Vincent Nurse Practitioner Granite City Clinic Corp 220 E Us Hwy 40, Troy, IL 62294-2201
Kelly R Murray Certified Nurse Midwife (cnm) Granite City Clinic Corp 2246s State Route 157, Suite 100, Glen Carbon, IL 62034-1717
Stephen Kent Burger Neurology Granite City Clinic Corp 1261 University Dr, Edwardsville, IL 62025-5586
Serge Marinkovic Urology Granite City Clinic Corp 2100 Madison Ave, Suite 201, Granite City, IL 62040-4713
Runda A El Khatib Family Medicine Granite City Clinic Corp 2044 Madison Ave, Suite 27, Granite City, IL 62040-4661

Office Location

Street Address 4273 S STATE ROUTE 159
SECOND FLOOR
City GLEN CARBON
State IL
Zip 62034

Physicians in the same location

Name Specialty Organization Address
Emily Cottrell Nurse Practitioner Granite City Clinic Corp 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034

Physicians in the same zip code

Name Specialty Organization Address
Richard C Coy Chiropractic Optimum Wellness and Rehabilitation PC 3407s State Route 157 1, Glen Carbon, IL 62034-1042
Jim Jiantao Hong Family Medicine 104 Magnolia Dr, Suite A, Glen Carbon, IL 62034-1595
Emily A Brueggeman Chiropractic 108 Magnolia Dr A, Glen Carbon, IL 62034-1595
Nikole L Hunter Chiropractic Brueggeman Chiropractic Center LLC 108 Magnolia Dr A, Glen Carbon, IL 62034-1595
Haresh K Motwani Family Medicine 27 Auerbach Place, Glen Carbon, IL 62034-1596
Barton Lynn Blackorby Ophthalmology Retina Consultants Ltd 5 Country Club Executive Park, Glen Carbon, IL 62034-1702
Alisha A White Internal Medicine 4 Country Club Executive Park, Glen Carbon, IL 62034-1702
Ryan J Cleland Chiropractic Infinite Wellness Chiropractic Ltd 220 Evergreen Ln, Unit B, Glen Carbon, IL 62034-1714
Elizabeth Anne Voss Nurse Practitioner Infinite Wellness Chiropractic Ltd 220 Evergreen Ln, Unit B, Glen Carbon, IL 62034-1714
Kelly R Murray Certified Nurse Midwife (cnm) Granite City Clinic Corp 2246s State Route 157, Suite 100, Glen Carbon, IL 62034-1717
Find all physicians in zip 62034

Competitor

Search similar physicians

City GLEN CARBON
Zip Code 62034
Specialty CRITICAL CARE (INTENSIVISTS)
City + Specialty GLEN CARBON + CRITICAL CARE (INTENSIVISTS)

Improve Information

Please comment or provide details below to improve the information on Michael J Walter.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Trending Searches