Individual
BENJAMIN L WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(800) 223-2273
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 286-6260
(216) 286-6341
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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