Mikaila Wallace, DO

NPI #1023687217 in Maryville, Missouri

Provider Information

NPI Number: 1023687217
Entity Type: Individual
Name: Mikaila Wallace, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 22, 2021
Last Updated: May 12, 2025

Practice Location

Address: 2016 S MAIN ST
City: Maryville
State: Missouri
ZIP Code: 64468-2655
Phone: (660) 562-2525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

Additional Practice Locations

4600 Valley Rd Ste 200

Lincoln, NE, 68510-4882

(402) 327-6921

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Charles S Fillingane II, DO	Family Medicine	Maryville	AI Deep Dive
Bryan Robert Green, MD	Family Medicine	Maryville	AI Deep Dive

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