Individual
DR. MICHAEL J. WAICKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
544 WHITE POND DR, SUITE B, AKRON, OH 44320-1141
(330) 867-3767
(330) 867-4857
Mailing address
544 WHITE POND DR, SUITE B, AKRON, OH 44320-1141
(330) 867-3767
(330) 867-4857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-05-9865-W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2197475
—
OH
Enumeration date
07/28/2005
Last updated
07/09/2007
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