DR. Marilyn J Waller-Niewold, D.P.M.

NPI #1568465177 in Warm Springs, Oregon

Provider Information

NPI Number
1568465177
Entity Type
Individual
Name
DR. Marilyn J Waller-Niewold, D.P.M.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Credential
D.P.M.
Enumeration Date
May 27, 2005
Last Updated
Jun 14, 2011

Practice Location

Address
1270 KOT-NUM ROAD, BOX 1209
State
Oregon
ZIP Code
98861
Phone
(541) 553-1196

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle SurgeryFoot & Ankle Surgery

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