STEPHANIE WALLACE, MD
Anesthesiology
Active
Individual
NPI: 1639304736
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Anesthesiology | 207L00000X | Yes | 60446 (WI) |
Frequently Asked Questions
NPI 1639304736 is the National Provider Identifier for STEPHANIE WALLACE, MD, a Anesthesiology provider located in Appleton, WI. This NPI was enumerated on May 19, 2009.
STEPHANIE WALLACE, MD practices at 1506 S ONEIDA ST, Appleton, WI 54915.
Quick Facts
- NPI
- 1639304736
- Type
- Individual
- Enumerated
- May 19, 2009
- Last Updated
- Oct 26, 2023
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