Organization
ANGELA B. WALLENBROCK, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA B WALLENBROCK MD (OWNER)
(614) 432-6410
Entity
Organization
Contact information
Practice address
880 GREENLAWN AVE, COLUMBUS, OH 43223-2616
(614) 449-9664
(614) 444-5839
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
(614) 430-5707
(614) 430-5744
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35049858
OH
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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