Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY MELANIE WALLER, MD
ActiveMRS. MARY MELANIE WALLER, MD is a Urology healthcare provider located in OLNEY, Illinois. NPI 1225024615 is currently active in the NPPES registry. Verify at CMS.
Urology · OLNEY, IL
Registration Details
- NPI Number
- 1225024615
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2005 (20.932648802884 yrs)
- Last Updated
- Oct 5, 2009
- License
-
036119328 (IL)
Practice Information
- Address
-
1200 N EAST STOLNEY, IL, 624502432Browse IL providers · Browse ZIP 62450
- Phone
- 6183955222
- Primary Specialty
-
Urology
208800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.