Most Relevant Information
Provider Data
| NPI Number: | 1003005729 |
| Provider Name: | WADE WALNOHA P.A.-C. |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 50.002685 |
Most Important Dates
| Enumeration Date: | 10/18/2007 |
| Last Updated: | 01/31/2012 |
Provider Practice Location
500 S CLEVELAND AVE
WESTERVILLE
OH
430818971
Practice Location Phone/Fax
| Phone: | 6147940481 |
| Fax: | 6147943711 |
Provider Mailing Location
575 COPELAND MILL RD
SUITE 1D
WESTERVILLE
OH
430818977
Provider Mailing Phone/Fax
| Phone: | 6147940481 |
| Fax: | 6147943711 |