Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 35129292 | OH |
NPI | 1114152543 |
---|---|
Provider Name | Adam C Walter |
First Address | Ottawa Hills, OH 43606-2644 |
Second Address | Sylvania, OH 43560-2193 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2009 |
Last Update Date | 02/08/2016 |