Individual
DR. THEODORE MICHAEL WALMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
23 E PADONIA AVE, TIMONIUM, MD 21093
(410) 667-1910
(410) 667-1909
Mailing address
2811 LORD BALTIMORE DR, BALTIMORE, MD 21244
(443) 316-2101
(410) 265-6068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OE00434ST
PA
152W00000X
Optometrist
OP345
DC
152W00000X
Optometrist
Primary
TA0607
MD
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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