| Gary A Waller, LPN | |
|
6503 Marsol Rd, Apt 347, Mayfield Hts, OH 44124-3568 | |
| (216) 816-6160 | |
| Not Available |
| Full Name | Gary A Waller |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 6503 Marsol Rd, Mayfield Hts, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235518572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN.154227-M-IV (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary A Waller, LPN 6503 Marsol Rd, Apt 347, Mayfield Heights, OH 44124-3568 Ph: (216) 373-1459 | Gary A Waller, LPN 6503 Marsol Rd, Apt 347, Mayfield Hts, OH 44124-3568 Ph: (216) 816-6160 |
Mr. Ben Bonnie O'neal, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6809 Mayfield Rd, 952, Mayfield Hts, OH 44124 Phone: 440-442-0743 Fax: 440-442-0905 | |
Melissa Estrin, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6574 Monterey Dr, Mayfield Hts, OH 44124 Phone: 216-543-5045 | |
Natalya Shestakova, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6312 Maplewood Rd, G 203, Mayfield Hts, OH 44124 Phone: 330-881-5553 | |
Mrs. Lisa Daina, CNP Licensed Practical Nurse Medicare: Accepting Medicare Assignments Practice Location: 6780 Mayfield Rd, Mayfield Hts, OH 44124 Phone: 440-312-4500 |