DR. Wilson King Wallace, MD

NPI #1598754053 in Vero Beach, Florida

Provider Information

NPI Number: 1598754053
Entity Type: Individual
Name: DR. Wilson King Wallace, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Oct 18, 2005
Last Updated: Apr 14, 2010

Practice Location

Address: 2750 INDIAN RIVER BLVD
City: Vero Beach
State: Florida
ZIP Code: 32960-5225
Phone: (772) 569-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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