Individual
CONLEY WALTER ENGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2205 CROCKER RD STE 109, WESTLAKE, OH 44145-6710
(440) 482-8323
(440) 808-1718
Mailing address
2205 CROCKER RD STE 109, WESTLAKE, OH 44145-6710
(440) 249-0274
(440) 808-1718
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
042542
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0466339
—
OH
Enumeration date
11/16/2005
Last updated
02/06/2025
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