Individual
DR. CALLIE A WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
801 COLONIAL CIR, NORWALK, IA 50211-9626
(515) 285-3200
(515) 285-3232
Mailing address
801 COLONIAL CIR, NORWALK, IA 50211-9626
(515) 285-3200
(515) 285-3232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-04329
IA
207Q00000X
Family Medicine Physician
R9248
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346537560
—
IA
01
—
P01353155
RR MEDICARE
IA
Enumeration date
07/08/2011
Last updated
02/27/2015
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