Individual
MOLLIE WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3360
Mailing address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3100
(416) 672-3431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-06272
IA
207Q00000X
Family Medicine Physician
R-12166
IA
Other
Enumeration date
06/09/2021
Last updated
02/26/2026
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