MARY M WALLER MD

RICHLAND MEMORIAL HOSPITAL INC

Dr MARY M WALLER MD is a female medical professional, specializing in Urology. She graduated in 1982 from Uniformed Services University Of The Health Sciences.

Contact

RICHLAND MEMORIAL HOSPITAL INC

1200 N E ST
OLNEY
IL
624502432

Tel: 6183957340

MARY M WALLER MD Information

Npi 1225024615
Pac Id 4789665928
Professional Enrollment Id I20080315000039
Last Name WALLER
First Name MARY
Middle Name M
Suffix
Gender F
Credential MD
Medical School Name UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES
Graduation Year 1982
Primary Specialty UROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RICHLAND MEMORIAL HOSPITAL INC
Group Practice Pac Id 3870565732
Number Of Group Practice Members 21
Line 1 Street Address 1200 N E ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OLNEY
State IL
Zip Code 624502432
Phone Number 6183957340
Hospital Affiliation Ccn 1 140147
Hospital Affiliation Lbn 1 RICHLAND MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 141343
Hospital Affiliation Lbn 2 CRAWFORD MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3 141351
Hospital Affiliation Lbn 3 CLAY COUNTY HOSPITAL
Hospital Affiliation Ccn 4 140189
Hospital Affiliation Lbn 4 SARAH BUSH LINCOLN HEALTH CENTER
Hospital Affiliation Ccn 5 141327
Hospital Affiliation Lbn 5 WABASH GENERAL HOSPITAL 1
Professional Accepts Medicare Assignment Y

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