DR. Nicole Marie Wallis, MD

NPI #1346443728 in Wabasha, Minnesota

Provider Information

NPI Number: 1346443728
Entity Type: Individual
Name: DR. Nicole Marie Wallis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Jun 6, 2007
Last Updated: Jul 12, 2022

Practice Location

Address: 1200 GRANT BLVD W
City: Wabasha
State: Minnesota
ZIP Code: 55981-1042
Phone: (651) 565-4531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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