| Angela B. Wallenbrock, Md | |
|
880 Greenlawn Ave Columbus OH 43223-2616 | |
| (614) 449-9664 | |
| (614) 444-5839 |
| Full Name | Angela B. Wallenbrock, Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 880 Greenlawn Ave, Columbus, Ohio |
| Authorized Official Name and Position | Angela B Wallenbrock (OWNER) |
| Authorized Official Contact | 6144326410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela B. Wallenbrock, Md Po Box 182255 Columbus OH 43218-2255 Ph: (614) 430-5707 | Angela B. Wallenbrock, Md 880 Greenlawn Ave Columbus OH 43223-2616 Ph: (614) 449-9664 |
| NPI Number | 1417398587 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417398587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35049858 (Ohio) | Primary |
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