Individual
MR. JOHN WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
15797 MADISON RD, MIDDLEFIELD, OH 44062-8408
(440) 321-2214
Mailing address
15797 MADISON RD, MIDDLEFIELD, OH 44062-8408
(440) 321-2214
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
I.0008604
OH
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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