Individual
NICHOLAS WALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7277 SMITHS MILL RD STE 200, NEW ALBANY, OH 43054-8195
(614) 221-6331
(614) 221-9042
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 713-1779
(513) 854-9921
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.140803
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295570
—
OH
Enumeration date
04/20/2018
Last updated
08/05/2024
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