Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARILYN J WALLER-NIEWOLD, D.P.M.
ActiveDR. MARILYN J WALLER-NIEWOLD, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in WARM SPRINGS, Oregon. NPI 1568465177 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · WARM SPRINGS, OR
Registration Details
- NPI Number
- 1568465177
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 27, 2005 (21.257339258796 yrs)
- Last Updated
- Jun 14, 2011
- Licenses
-
DP00352 (OR)E3808 (CA)
Practice Information
- Address
-
1270 KOT-NUM ROAD, BOX 1209WARM SPRINGS, OR, 98861Browse OR providers · Browse ZIP 98861
- Phone
- 5415531196
- Fax
- 5415532613
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Other Foot & Ankle Surgery Podiatrist Providers in WARM SPRINGS, OR
| Name | Credential | NPI |
|---|---|---|
| HAI TUAN TRAN | DPM | 1982690954 |
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.