Individual
DR. WALTER LANG BERNACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1085 E. JOHNSTOWN RD., GAHANNA, OH 43230
(614) 682-5095
(614) 891-6533
Mailing address
1085 E. JOHNSTOWN RD., GAHANNA, OH 43230
(614) 682-5095
(614) 891-6533
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35071567B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2319244
—
OH
Enumeration date
11/13/2006
Last updated
01/25/2023
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