Individual
ERICH W WALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4760 E GALBRAITH RD, SUITE 206, CINCINNATI, OH 45236-6703
(513) 791-4490
(513) 791-7287
Mailing address
PO BOX 714570, COLUMBUS, OH 43271-4570
(513) 791-4490
(513) 791-7287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35077946
OH
207RP1001X
Pulmonary Disease Physician
Primary
35077946
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2360494
—
OH
01
—
WA4127432
MEDICARE
OH
Enumeration date
07/26/2006
Last updated
05/28/2010
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