Individual
MARY-LYNN NILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
507 EXECUTIVE CAMPUS DR, SUITE 160, WESTERVILLE, OH 43082-9838
(614) 891-9505
(614) 891-6416
Mailing address
507 EXECUTIVE CAMPUS DR, SUITE 160, WESTERVILLE, OH 43082-9838
(614) 891-9505
(614) 891-6416
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.075127
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35.075127
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2218406
—
OH
Enumeration date
09/20/2005
Last updated
04/26/2010
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