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Individual

DR. TODD B WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1619 VICTOR RD NW, LANCASTER, OH 43130
(740) 653-5390
(740) 653-2808
Mailing address
1619 VICTOR RD NW, LANCASTER, OH 43130-7883
(740) 653-5390
(740) 653-2808

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08001286
IN
111N00000X
Chiropractor
Primary
1714
OH
111N00000X
Chiropractor
4112
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0188103
OH
Enumeration date
12/05/2006
Last updated
05/16/2013
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