DR. Michael J. Wallace, M.D.
NPI #1144304353 in Santa Monica, California
Provider Information
- NPI Number
- 1144304353
- Entity Type
- Individual
- Name
- DR. Michael J. Wallace, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Anesthesiology
- Credential
- M.D.
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1328 22ND ST
- City
- Santa Monica
- State
- California
- ZIP Code
- 90404-2032
- Phone
- (310) 471-5852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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