Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35077946 | OH |
N | 111NI0900X | Internist | 35077946 | OH |
Y | 207RP1001X | Pulmonary Disease | 35077946 | OH |
NPI | 1023032927 |
---|---|
Provider Name | Erich W Walder |
First Address | Columbus, OH 43271-4570 |
Second Address | Cincinnati, OH 45236-6703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 28/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2360494 | (05) | OH |
H74098 | (02) | |
WA4127432 | MEDICARE (01) | OH |