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Individual

TAN WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
121 N EWING ST, LANCASTER, OH 43130-3364
(740) 653-2656
Mailing address
121 N EWING ST, LANCASTER, OH 43130-3364
(740) 653-2656

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003267
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3001058
OH
Enumeration date
09/18/2009
Last updated
02/13/2013
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