Individual
KRISTIAN HAROLD WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6847 N CHESTNUT ST STE 210, RAVENNA, OH 44266-3929
(330) 297-6060
(216) 201-7846
Mailing address
6847 N CHESTNUT ST STE 210, RAVENNA, OH 44266-3929
(330) 297-6060
(216) 201-7846
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35.131005
OH
Other
Enumeration date
05/04/2011
Last updated
12/01/2020
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