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ERIC WILLIAM WALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1205 PROVIDENT DRIVE, SUITE A, WARSAW, IN 46580-3265
(574) 269-8383
(574) 269-8384
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01067105A
IN
208M00000X
Hospitalist Physician
Primary
01067105A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200968810
IN
Enumeration date
06/11/2008
Last updated
11/06/2020
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