Individual
DR. WALTER BODJANAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
34-00-5512-B
OH
208600000X
Surgery Physician
34-00-5512-B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141877
ANTHEM
OH
05
—
0161355
—
OH
01
—
1143537003
CIGNA
OH
01
—
2171126
AETNA GOLDEN
OH
01
—
5489782
AETNA MGD CHOICE
OH
01
—
91970
QUAL CHOICE
OH
Enumeration date
11/17/2005
Last updated
08/07/2026
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