National Provider Identifier

David Michael Walborn, MD

David Michael Walborn, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Kenmore, NY and a listed phone number of (716) 873-4406.

NPI 1194827295Kenmore, NYSurgery Physician

Profile Overview

NPI
1194827295
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
September 01, 2006
Last Updated
September 22, 2022

Practice Location

  • 893 Colvin Blvd
  • Kenmore, NY 14217-2423

Phone: (716) 873-4406

Specialties

  • Surgery Physician (208600000X)

Endpoints

  • dvwalb@aol.com

    Other Url | Kenmore, NY 14217

Full Record
NPI
1194827295
Entity Type
Individual
Last Name
Walborn
First Name
David
Middle Name
Michael
Credential
MD
Mailing Street Address
893 Colvin Blvd
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2423
Mailing Country
US
Mailing Phone
(716) 873-4406
Mailing Fax
(716) 873-4420
Practice Street Address
893 Colvin Blvd
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2423
Practice Country
US
Practice Phone
(716) 873-4406
Practice Fax
(716) 873-4420
Enumeration Date
September 01, 2006
Last Updated
September 22, 2022
Sex
Male
Sole Proprietor
Yes
Certification Date
September 22, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)
Other Identifiers
00010185504 (Univera), 1703730 (Iha), 071227000043 (Fidelis), 000511107004 (NY, Blue Cross), 01257914 (NY)