SearchOhio183500000X

Mark Waltz

NPI 1710242920 · on the registry since 2012 · sole proprietor

Practice

Address
1012 W Sylvania Ave
Toledo, OH 43612
Phone
(419) 478-8177
Organisation at this address
Lane Drug Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
OH, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio