DR. Stephen E. Wallace, M.D.
NPI #1548360134 in Springfield, Illinois
Provider Information
- NPI Number
- 1548360134
- Entity Type
- Individual
- Name
- DR. Stephen E. Wallace, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Credential
- M.D.
- Enumeration Date
- Sep 23, 2006
- Last Updated
- Jan 29, 2009
Practice Location
- Address
- 2532 FARRAGUT DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-1433
- Phone
- (217) 787-9424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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