Individual
DR. WALTER C SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
715 E WESTERN RESERVE RD, POLAND, OH 44514-3358
(330) 726-3204
(330) 729-9316
Mailing address
715 E WESTERN RESERVE RD, POLAND, OH 44514-3358
(330) 726-3204
(330) 729-9316
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
34006342S
OH
207RI0011X
Interventional Cardiology Physician
Primary
34.006342
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2386458
—
OH
01
—
4070652
MEDICARE PTAN
OH
Enumeration date
01/25/2006
Last updated
09/28/2016
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