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Individual

ROBERT J WALLNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(215) 663-5910
(215) 379-8458
Mailing address
101 GREENWOOD AVE, SUITE 150, JENKINTOWN, PA 19046-2627
(215) 663-5910
(215) 379-8458

Taxonomy

Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
OS002166L
PA

Other

Enumeration date
08/15/2006
Last updated
07/08/2007
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