DR. MICHAEL WALLACE, DPM
Podiatrist - Foot & Ankle Surgery
Active
Individual
NPI: 1295828416
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist - Foot & Ankle Surgery | 213ES0103X | Yes | 599 (GA) |
Frequently Asked Questions
NPI 1295828416 is the National Provider Identifier for DR. MICHAEL WALLACE, DPM, a Podiatrist - Foot & Ankle Surgery provider located in Valdosta, GA. This NPI was enumerated on October 2, 2006.
DR. MICHAEL WALLACE, DPM practices at 2800 N OAK ST, Valdosta, GA 31602.
Quick Facts
- NPI
- 1295828416
- Type
- Individual
- Enumerated
- Oct 2, 2006
- Last Updated
- Sep 18, 2013
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