B Waldo MD LLC

NPI #1043994262 in Valparaiso, Indiana

Provider Information

NPI Number: 1043994262
Entity Type: Organization
Organization Name: B Waldo MD LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 9, 2023
Last Updated: Jun 9, 2023

Practice Location

Address: 3000 PEPPER CREEK BRIDGE PKWY
City: Valparaiso
State: Indiana
ZIP Code: 46385-7129
Phone: (773) 520-1950

Authorized Official

Name: DR. BRYAN E WALDO, MD
Title: OWNER
Phone: (773) 520-1950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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