Provider Demographics
NPI:1427237759
Name:WALTER M FINGERER MD PA
Entity type:Organization
Organization Name:WALTER M FINGERER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FINGERER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-484-5445
Mailing Address - Street 1:3001 NW 49TH AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33313-7266
Mailing Address - Country:US
Mailing Address - Phone:954-484-5445
Mailing Address - Fax:
Practice Address - Street 1:3001 NW 49TH AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33313-7266
Practice Address - Country:US
Practice Address - Phone:954-484-5445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME15862207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty