Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob Robert Walker, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770232829

Dr. Jacob Robert Walker, MD is a Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

611 E Douglas Rd Ste 407
Mishawaka, IN 46545-1468
Phone: (574) 335-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1770232829
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468

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