DR. WILLIAM WALLACE JR., M.D.

Surgery - Plastic and Reconstructive Surgery

Active Individual
NPI: 1184842627

Practice Address

1679 EAGLE HARBOR PKWY
SUITE C
Fleming Island, FL 32003

Phone: (904) 348-0727

Specialties

Specialty Code Primary License
Surgery - Plastic and Reconstructive Surgery 2086S0122X No 35.079632 (OH)

Frequently Asked Questions

NPI 1184842627 is the National Provider Identifier for DR. WILLIAM WALLACE JR., M.D., a Surgery - Plastic and Reconstructive Surgery provider located in Fleming Island, FL. This NPI was enumerated on April 22, 2007.
DR. WILLIAM WALLACE JR., M.D. practices at 1679 EAGLE HARBOR PKWY, SUITE C, Fleming Island, FL 32003.

Quick Facts

NPI
1184842627
Type
Individual
Enumerated
Apr 22, 2007
Last Updated
Nov 1, 2015

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