DR. John G Wallace, M.D.

NPI #1346379161 in Shoreline, Washington

Provider Information

NPI Number
1346379161
Entity Type
Individual
Name
DR. John G Wallace, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychiatry & Neurology - Psychiatry
Credential
M.D.
Enumeration Date
Mar 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
17515 N PARK PL N
ZIP Code
98133-4803
Phone
(206) 533-2158

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry

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