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NPI Code Detail

MEDICARE: ORANE WALLEN MD

MEDICARE: ORANE WALLEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1699614628
Entity Type Code : Individual
Provider Name (Legal Business Name) : ORANE WALLEN MD
Provider Business Mailing Address
First Line : 1002 SUSHRUTA DR
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-8876
Country : US
Telephone Number : 304-263-0913
Fax Number : 304-267-2917
Provider Business Practice Location Address
First Line : 1002 SUSHRUTA DR
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-8876
Country : US
Telephone Number : 304-263-0913
Fax Number : 304-267-2917
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ ORANE WALLEN MD” Practice Location

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