Individual
DORIS ELAINE WALZAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
456 WEST TENTH AVENUE, CLINIC 3A 3D, COLUMBUS, OH 43210
(614) 293-8105
(614) 293-4890
Mailing address
PO BOX 183103, 660 ACKERMAN 3RD FLOOR, COLUMBUS, OH 43218-3103
(614) 293-2150
(614) 293-6479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35038032W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0328792
—
OH
Enumeration date
05/01/2006
Last updated
07/08/2007
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