WAYNE WALLACE JR., MD
Family Medicine
Active
Individual
NPI: 1639175292
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 0413701 (KS) |
Frequently Asked Questions
NPI 1639175292 is the National Provider Identifier for WAYNE WALLACE JR., MD, a Family Medicine provider located in Atchison, KS. This NPI was enumerated on June 28, 2005.
WAYNE WALLACE JR., MD practices at 810 RAVEN HILL DRIVE, Atchison, KS 66002.
Quick Facts
- NPI
- 1639175292
- Type
- Individual
- Enumerated
- Jun 28, 2005
- Last Updated
- Jan 28, 2010
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