Waluzak, Michael D

Waluzak, Michael D is an sole proprietor health care provider with primary practice located at 400 Altair Pkwy Ste 3300 , Westerville OH 43082-7653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Waluzak, Michael D can be contacted via phone (614) 882-0708.

Contact Information

Primary practice address
400 Altair Pkwy Ste 3300 Westerville OH 43082-7653
Fax: (614) 882-2878
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-04-7306 Ohio

Profile Details

NPI number 1053394601
LBN Legal business name Waluzak, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2005
Last updated Feb 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053394601 NPPES
Ohio MEDICAID 0555055

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