Individual
WALTER CARLOS LANDERER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
228 N BARRON ST, EATON, OH 45320-1704
(937) 456-7694
Mailing address
116 FLOYD ST, LEWISBURG, OH 45338-8086
(937) 681-4796
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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