IndividualActive
Michael Waltich, IDC
NPI 1427550334 · Independent Duty Corpsman · Pringle, PA
Provider details
- NPI number
- 1427550334
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
82 Cooper Street
Pringle, PA 18704
Phone: (570) 574-2390
Approximate (ZIP-level) locationGet directions
Mailing address
695 Kinkaid Rd
Annapolis, MD 21402-1006
Registry dates
- Enumerated
- 2018-03-06
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.