Nicole Marie Wallis MD

NPI 1346443728 - Emergency Medicine - 207P00000X

NPI Details
NPI 1346443728
Gender Female
Enumeration Date 06/06/2007
Last Updated 09/28/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1 PERKINS SQ
AKRON CHILDREN'S HOSPITAL
AKRON OH, 44308, US
Phone (330) 543-8452
Fax
Business Location
754 ANTLER TRL
STREETSBORO OH, 44241-4339, US
Phone
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Ohio
License Number 35089618
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According to our database, Nicole Marie Wallis MD NPI is 1346443728, taxonomy code is 207P00000X and license number is 35089618, license state is located at Ohio. Nicole Marie Wallis MD physically located at 1 Perkins Sq, Akron OH, 44308. NPI Number Nicole Marie Wallis MD has the Individual type.

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1346443728 NPI number is provided on an as is basis without warranty of any kind. 1346443728 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Marie Wallis MD are for informational purposes only.