Individual
WALTER ELROD
Active
Individual
WALTER ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036140323
IL
207P00000X
Emergency Medicine Physician
35-07-5044
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000271432
ANTHEM
OH
01
—
000000372958
ANTHEM
OH
05
—
2095950
—
OH
01
—
341960760027
CARESOURCE
OH
05
—
4429887
—
MI
01
—
727137
BCHP
OH
05
—
810547599035
—
OH
Enumeration date
03/27/2006
Last updated
12/29/2017
Update your record
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