Individual
MEGAN MICHELLE WALTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 N. CATAWBA ROAD, PORT CLINTON, OH 46452
(419) 559-6870
Mailing address
2715 COUNTY ROAD 265, FREMONT, OH 43420-9419
(419) 559-6870
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
7200942
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214981
—
OH
01
—
7200942
DODD PROVIDER NUMBER
OH
Enumeration date
09/16/2020
Last updated
10/17/2022
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