Colleen Michelle Wallace, M.D.

NPI #1255627469 in Laurel, Maryland

Provider Information

NPI Number
1255627469
Entity Type
Individual
Name
Colleen Michelle Wallace, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pediatrics
Credential
M.D.
Enumeration Date
Jun 26, 2011
Last Updated
Jan 15, 2025

Practice Location

Address
14113 BALTIMORE AVE STE B
City
Laurel
ZIP Code
20707-5073
Phone
(240) 360-5723

Specialties & Taxonomy Codes

Specialty
Hospitalist
Pediatrics

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