Individual
DR. SHAWN WILLIAM WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5463 N BEND RD, CINCINNATI, OH 45247-7620
(513) 385-7733
(513) 385-7703
Mailing address
25 MERCHANT STREET, SUITE 220, CINCINNATI, OH 45246-3740
(513) 385-7733
(513) 385-7703
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
59000193
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200264580
—
IN
05
—
200951110
—
IN
05
—
2950310
—
OH
Enumeration date
03/12/2007
Last updated
12/16/2016
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