Individual
MARIE C WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 STATE ROUTE 664 N, LOGAN, OH 43138-8541
(740) 380-8000
(614) 293-2809
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(740) 380-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.151662
OH
207P00000X
Emergency Medicine Physician
390200000X
IN
Other
Enumeration date
04/19/2021
Last updated
08/30/2024
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