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Individual

DR. GRANT MICHAEL WALLISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9053
Mailing address
5324 BRANSCOM BLVD, WESTERVILLE, OH 43081-9300
(614) 563-5935

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-27908
OH

Other

Enumeration date
07/19/2007
Last updated
07/19/2007
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