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Dr. Marilyn J Waller-niewold, DPM
Foot & Ankle Surgery Podiatrist in Warm Springs, Oregon
NPI 1568465177

Marilyn J Waller-niewold is a Foot & Ankle Surgery Podiatrist based in Warm Springs, OR and is specialized in Foot & Ankle Surgery. Marilyn J Waller-niewold practices in Warm Springs, OR and has the professional credentials of DPM. The NPI Number for Marilyn J Waller-niewold is 1568465177 and holds a License No. DP00352 (Oregon).

The current practice location address for Marilyn J Waller-niewold is 1270 Kot-Num Road, Box 1209, Warm Springs, OR and can be reached out via phone at 541-553-1196 and via fax at 541-553-2613. You can also correspond with Marilyn J Waller-niewold through the mailing address at 1270 KOT-NUM ROAD, BOX 1209, WARM SPRINGS, OR - 98861 (mailing address contact number: 541-553-1196).

Location: 1270 Kot-Num Road, Box 1209, Warm Springs, OR, 98861
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Provider Profile Details
NPI Number
1568465177
Provider Name
Marilyn J Waller-niewold
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1270 Kot-Num Road, Box 1209, Warm Springs, OR, 98861
Phone Number
541-553-1196
Fax Number
541-553-2613
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0407825 05 CA
273855 05 OR
institution
Provider Business Practice Location Address Details
Address
1270 Kot-Num Road, Box 1209
City
State
Zip
98861
Phone Number
541-553-1196
Fax Number
541-553-2613
person
Provider Business Mailing Address Details
Address
1270 Kot-Num Road, Box 1209
City
State
Zip
98861
Phone Number
541-553-1196
Fax Number
541-553-2613
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
DP00352 (Oregon)
Definition
Definition to come...
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