Individual
CARL N WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 636-1131
(419) 636-3100
Mailing address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 636-1131
(419) 636-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-038977
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323135
—
OH
01
—
080054808
RAILROAD
OH
Enumeration date
06/25/2006
Last updated
05/31/2012
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