Maura Kathleen Wallace, PHYSICIAN ASSISTANT
NPI #1881459667 in Worthington, Ohio
Provider Information
- NPI Number
- 1881459667
- Entity Type
- Individual
- Name
- Maura Kathleen Wallace, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Feb 20, 2024
- Last Updated
- Apr 28, 2025
Practice Location
- Address
- 874 PROPRIETORS RD
- City
- Worthington
- State
- Ohio
- ZIP Code
- 43085-3152
- Phone
- (614) 885-9405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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