Larry R Walton is a Prosthetic/orthotic Supplier Clinic in Portage, Michigan. It is situated at 1220 West Milham Ave, Portage and its contact number is 269-382-9900. The authorized person of Larry R Walton is Dr. Larry Raymond Walton
who is Owner of the clinic and their contact number is 269-382-9900. Primary license number for Larry R Walton is 039773 (Orthopaedic Surgery (Hand Surgery)) in Michigan.
Complete Clinic Profile:
Larry R Walton Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization:
Prosthetic/orthotic Supplier
Clinic Address:
1220 West Milham Ave, Portage, Michigan, 49024-1206
Phone:
269-382-9900
Fax:
269-382-0700
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Larry Raymond Walton
Position:
Owner
Contact Number:
269-382-9900
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Larry R Walton Clinic are as mentioned below.
NPI Number:
1790989549
NPI Enumeration Date:
14 Jun, 2007
NPI Last Update On:
19 Aug, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry R Walton are as mentioned below.
Specialization
License Number
State
Status
Orthopaedic Surgery (Hand Surgery)
039773
Michigan
Primary
Prosthetic/orthotic Supplier
039773
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
039279
Other
Michigan
Bcbs
4079644
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Larry R Walton 1220 West Milham Ave, Portage, Michigan
Zip:
49024-1206
Phone Number:
269-382-9900
Fax Number:
269-382-0700
Patients can reach Larry R Walton at 1220 West Milham Ave, Portage, Michigan or can call to book an appointment on 269-382-9900. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.
Comments/ Reviews:
Prosthetic/orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.