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Dr. Jacob Blake Walling, MD
Student in an Organized Health Care Education/Training Program in Lima, Ohio
NPI 1447948294

Jacob Blake Walling is a Student in an Organized Health Care Education/Training Program based in Maple Grove, OH. Jacob Blake Walling practices in Lima, OH and has the professional credentials of MD. The NPI Number for Jacob Blake Walling is 1447948294 and holds a License No. (Ohio).

The current practice location address for Jacob Blake Walling is 730 W Market St, Lima, OH and can be reached out via phone at 419-227-3361.

Location: 730 W Market St, Lima, OH, 55369-9105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447948294
Provider Name
Jacob Blake Walling
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
730 W Market St, Lima, OH, 55369-9105
Phone Number
419-227-3361
Fax Number
Provider Enumeration Date
04/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
730 W Market St
City
Lima
State
Ohio
Zip
45801-4602
Phone Number
419-227-3361
Fax Number
person
Provider Business Mailing Address Details
Address
730 W Market St
City
Lima
State
Ohio
Zip
45801-4602
Phone Number
419-227-3361
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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