Douglas C Wallace, MD
NPI #1063451144 in Grove City, Ohio
Provider Information
- NPI Number
- 1063451144
- Entity Type
- Individual
- Name
- Douglas C Wallace, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jun 5, 2006
- Last Updated
- Jul 21, 2023
Practice Location
- Address
- 4072 GANTZ RD
- City
- Grove City
- State
- Ohio
- ZIP Code
- 43123-4816
- Phone
- (614) 875-0011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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