DR. Christine Diane Waller, DO

NPI #1346453552 in Lafayette, Indiana

Provider Information

NPI Number: 1346453552
Entity Type: Individual
Name: DR. Christine Diane Waller, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: DO
Enumeration Date: May 7, 2007
Last Updated: Feb 3, 2022

Practice Location

Address: 114 EXECUTIVE DR STE E
City: Lafayette
State: Indiana
ZIP Code: 47905-4875
Phone: (765) 446-0170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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