CHRISTINE DIANE WALLER

LAFAYETTE, IN
NPI1346453552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  02003516A)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: OH  BO9667710-705-41)
Enumeration Date2007-05-07
Last Update Date2022-02-03
Business Address
Dr. CHRISTINE DIANE WALLER DO
114 EXECUTIVE DR STE E
LAFAYETTE, IN 47905-4875
Phone number: 765-446-0170
Mailing Address
Dr. CHRISTINE DIANE WALLER DO
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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