Individual
DR. MARYELLEN WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
887A RIO EAST CT, CHARLOTTESVILLE, VA 22901-8004
(434) 979-8116
(434) 979-8880
Mailing address
1600 E GUDE DR STE 200, ROCKVILLE, MD 20850-1496
(301) 933-7133
(301) 933-7137
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301110
VA
Other
Enumeration date
05/24/2011
Last updated
04/12/2019
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