Dr. Jay Marvin Wallin, M.D.
Internal Medicine in Columbus, OH. Individual provider (NPI-1).
NPI number1528090768
StatusActive
Last updated in NPPESApr 30, 2010
Details
- NPI
- 1528090768
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jay Marvin Wallin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2006
- Last updated
- Apr 30, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 35075177W | OH | Yes |
Practice location
6075 E Broad StColumbus, OH 43213-1549
Phone 614-759-8660 · Fax 614-759-8764
Mailing address
6075 E Broad StColumbus, OH 43213-1549
Phone 614-759-8660 · Fax 614-759-8764
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