DR. John Wall, MD

NPI #1003899071 in Rockford, Illinois

Provider Information

NPI Number
1003899071
Entity Type
Individual
Name
DR. John Wall, MD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Nov 23, 2005
Last Updated
Jul 9, 2007

Practice Location

Address
1200 W STATE ST
ZIP Code
61102-2112
Phone
(815) 490-1600

Specialties & Taxonomy Codes

Specialty
Family Medicine

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