Stephanie Mary Wallace, MD

NPI #1639304736 in Appleton, Wisconsin

Provider Information

NPI Number: 1639304736
Entity Type: Individual
Name: Stephanie Mary Wallace, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: May 19, 2009
Last Updated: Oct 26, 2023

Practice Location

Address: 1506 S ONEIDA ST
City: Appleton
State: Wisconsin
ZIP Code: 54915-1305
Phone: (920) 738-2611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Anesthesiology	207L00000X	Primary

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