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

Michael C Walters, MD

Individual provider Emergency Medicine Physician · NPI 1063473973

Michael C Walters, MD is an Emergency Medicine in Portage, Wisconsin. Graduated from Medical College of Wisconsin in 1995, 31 years ago. Practices with Divine Savior Healthcare Inc, a 132-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
31
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2817 New Pinery Rd
Portage, WI 53901-9240
Phone: (608) 745-5689
Fax: (608) 742-6098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 43499 (WI)

Record details

NPI number1063473973
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESOctober 12, 2012
Mailing address2817 New Pinery Road, Divine Savior Healthcare, Portage, WI 53901-0387

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1995 (31 years in practice)
Group practice Divine Savior Healthcare Inc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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