James M Wallace, M.D.
NPI #1902908718 in Saint Croix Falls, Wisconsin
Provider Information
- NPI Number
- 1902908718
- Entity Type
- Individual
- Name
- James M Wallace, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Sep 2, 2006
- Last Updated
- Feb 2, 2021
Practice Location
- Address
- 235 E STATE ST
- State
- Wisconsin
- ZIP Code
- 54024-4117
- Phone
- (715) 483-3221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Internal Medicine |
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