Individual
DR. JAY MARVIN WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6075 E BROAD ST, COLUMBUS, OH 43213-1549
(614) 759-8660
(614) 759-8764
Mailing address
6075 E BROAD ST, COLUMBUS, OH 43213-1549
(614) 759-8660
(614) 759-8764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35075177W
OH
Other
Enumeration date
07/07/2006
Last updated
04/30/2010
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