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Individual

BENJAMIN L WALTER

Active
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Individual

BENJAMIN L WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35083927
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2482193
OH
01
7942601
AETNA
01
P00774254
MEDICARE RAILROAD
OH
Enumeration date
04/20/2006
Last updated
04/03/2014
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