MR. ROBERT WALLACE, APN

Nurse Practitioner - Family

Active Individual
NPI: 1720007156

Practice Address

1 UNIVERSITY CIR
Macomb, IL 61455

Phone: (309) 298-1888

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes -

Frequently Asked Questions

NPI 1720007156 is the National Provider Identifier for MR. ROBERT WALLACE, APN, a Nurse Practitioner - Family provider located in Macomb, IL. This NPI was enumerated on July 18, 2006.
MR. ROBERT WALLACE, APN practices at 1 UNIVERSITY CIR, Macomb, IL 61455.

Quick Facts

NPI
1720007156
Type
Individual
Enumerated
Jul 18, 2006
Last Updated
Jul 8, 2007

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