John R Wallace, MD

NPI #1457346967 in Marquette, Michigan

Provider Information

NPI Number
1457346967
Entity Type
Individual
Name
John R Wallace, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Infectious Disease
Credential
MD
Enumeration Date
Sep 12, 2005
Last Updated
Apr 22, 2009

Practice Location

Address
1414 W FAIR AVE
Address 2
SUITE 111
ZIP Code
49855-2675
Phone
(906) 225-7601

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Infectious DiseaseInfectious Disease

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Organizations

Provider Name
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