Mr. Walter Douglas Kolmodin, DPM
Mr. Walter Douglas Kolmodin, DPM is a Podiatry in Granger, Indiana. Graduated from College of Podiatric Med and Surgery, Des Moines University in 1998, 28 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 28
- Trained at
- College of Podiatric Med and Surgery, Des Moines University
- Licensed in
- IN
- In the registry since
- 2005
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
14950 State Road 23Granger, IN 46530-7564
Phone: (574) 259-9668
Fax: (574) 259-9671
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 07000902A (IN) |
|---|
Record details
| NPI number | 1265427645 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | No |
| NPI enumerated | September 13, 2005 |
| Last updated in NPPES | July 10, 2024 |
| Certification date | July 10, 2024 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY |
| Graduated | 1998 (28 years in practice) |
| Group practice | The South Bend Clinic Llc — 170 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Granger
-
Jonathan H. Abiera II, DPM
6913 N Main St Ste 300, Granger, IN 46530-8039 · (574) 647-1500