| Doctor Name: | WALTER MASNY |
| NPI Number: | 1861412108 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 350408061 |
| Business Practice Address: | 16600 W Sprague Rd Suite 120 Middleburg Heights, OH - 441306318 |
| Business Phone Number: | 4408260500 |
| Business Fax Number: | 4408260501 |
| Mailing Address: | Po Box 1239, TROY |
| State: | MI |
| Postal Code: | 480991239 |
| Phone Number: | 2488246600 |
| Fax Number: | 2483241477 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 03/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 350408061 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |