MR. Wallace L Vinson, RSA
NPI #1235360959 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1235360959
- Entity Type
- Individual
- Name
- MR. Wallace L Vinson, RSA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- RSA
- Enumeration Date
- Jul 29, 2009
- Last Updated
- Oct 6, 2023
Practice Location
- Address
- 260 S SCHMIDT RD STE G
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-3087
- Phone
- (630) 754-7760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist |
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