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DR. JERRY SAMUEL WALDEN M.D.
NPI 1427168913
Family Medicine in Ann Arbor, MI

Active since August 30, 2006
3174 PACKARD ST, ANN ARBOR, MI 48108(734) 971-1073(734) 971-8545 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Samuel Walden M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY SAMUEL WALDEN M.D. (NPI 1427168913) is an individual family medicine provider in Ann Arbor, Michigan, licensed in Michigan (JW027573) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1427168913
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JERRY SAMUEL WALDENCredential: M.D.
Location Address3174 PACKARD STAnn Arbor, MI 48108-1947
Mailing Address3174 Packard StAnn Arbor, MI 48108-1947 · (734) 971-1073 · Fax (734) 971-8545
Phone(734) 971-1073
Fax(734) 971-8545
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1427168913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · JW027573
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3174 PACKARD ST, Ann Arbor, MI 48108
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Other Identifiers 8

Other0808172651MI · Bcbs
Other0817265MI · Blue Care Network
Other103791MI · Care Choices
OtherB45555MI · Hap
Medicare UPINB45555MI
Medicaid1639933MI
OtherC-2855MI · M-care
Medicare ID-Type UnspecifiedOH16245003MI

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANKOOR BHARAT SONI M.D.
Family Medicine
3174 PACKARD ST
ANN ARBOR, MI 48108
Washtenaw County (734) 971-1073
97 SMILES OF ANN ARBOR
Dentist
3174 PACKARD ST
ANN ARBOR, MI 48108
Washtenaw County (313) 342-1997
KRISTEN NICOLE CHANDLER MSW, LMSW
Social Worker (Clinical)
3174 PACKARD ST
ANN ARBOR, MI 48108
Washtenaw County (734) 971-1073
DR. RAYMOND JOHN RION M.D.
Family Medicine
3174 PACKARD ST
ANN ARBOR, MI 48108
Washtenaw County (734) 971-1073
MRS. KATHERINE HOFFMAN CNP
Nurse Practitioner
3174 PACKARD ST
ANN ARBOR, MI 48108
Washtenaw County (734) 971-1073
NICOLE E SKYLIS LCSW
Social Worker (Clinical)
3174 PACKARD ST
ANN ARBOR, MI 48108
Washtenaw County (734) 971-1073
DR. MIRA PARKHIE SINHA M.D.
Family Medicine
3174 PACKARD ST
ANN ARBOR, MI 48108
Washtenaw County (734) 971-1073
COREY TELIN
Social Worker (Clinical)
3174 PACKARD ST
ANN ARBOR, MI 48108
Washtenaw County (734) 971-1073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Walden's NPI number?

The NPI number for Jerry Walden is 1427168913. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Jerry Walden located?

Jerry Walden practices at 3174 Packard St, Ann Arbor, MI 48108. The listed phone number is (734) 971-1073.

What is Jerry Walden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jerry Walden was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.