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Organization

WALTER L BERNACKI MD INC

Active
Other names
Ohio Plastic Surgery Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WALTER LANG BERNACKI M.D. (OWNER/PHYSICIAN)
(614) 682-5095
Entity
Organization

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
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3160421
OH
Enumeration date
12/13/2007
Last updated
01/27/2023
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