KYRSTEN WALLACE, MD
Family Medicine
Active
Individual
NPI: 1407317472
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 318197 (NY) |
Frequently Asked Questions
NPI 1407317472 is the National Provider Identifier for KYRSTEN WALLACE, MD, a Family Medicine provider located in Syracuse, NY. This NPI was enumerated on March 30, 2019.
KYRSTEN WALLACE, MD practices at 750 E ADAMS ST, Syracuse, NY 13210.
Quick Facts
- NPI
- 1407317472
- Type
- Individual
- Enumerated
- Mar 30, 2019
- Last Updated
- Dec 13, 2022
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