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Individual

DR. PRISCILLA WALDHEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7656
Mailing address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7656

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35063273
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0883825
OH
Enumeration date
05/04/2006
Last updated
10/15/2008
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