DR. James Winchester Wallace, O.D.

NPI #1285675827 in Delavan, Wisconsin

Provider Information

NPI Number
1285675827
Entity Type
Individual
Name
DR. James Winchester Wallace, O.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jun 8, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1450 E GENEVA ST
ZIP Code
53115-2025
Phone
(262) 728-0068

Specialties & Taxonomy Codes

Specialty
Optometrist

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