Search › Ohio › 122300000X
Heath Wallace
NPI 1811010069 · on the registry since 2007 · sole proprietor
Practice
- Address
- 13160 Main Street
Weston, OH 43569 - Phone
- (419) 669-2839
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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