Individual
TIMOTHY J WALTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2441 OLD STRINGTOWN RD, GROVE CITY, OH 43123-3922
(614) 317-9990
(614) 317-9995
Mailing address
P.O. BOX 635281, CINCINNATI, OH 45263-0001
(614) 317-9990
(614) 317-9995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35076793
OH
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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