David W Wallace, MD MBA

NPI #1376532168 in Shelbyville, Kentucky

Provider Information

NPI Number: 1376532168
Entity Type: Individual
Name: David W Wallace, MD MBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD MBA
Enumeration Date: Oct 14, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 515 HOSPITAL DR
Address 2: SUITE 1
City: Shelbyville
State: Kentucky
ZIP Code: 40065-1640
Phone: (502) 633-3525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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