Individual
MARNIE WAGNER WALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8530
(330) 543-3731
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8530
(330) 543-3731
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35122993
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120219
—
OH
Enumeration date
03/21/2012
Last updated
11/23/2020
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