Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIAM ARTHUR WALLACE JR., M.D.
ActiveDR. WILLIAM ARTHUR WALLACE JR., M.D. is a Plastic and Reconstructive Surgery healthcare provider located in FLEMING ISLAND, Florida. NPI 1184842627 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · FLEMING ISLAND, FL
Registration Details
- NPI Number
- 1184842627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2007 (19.334814778706 yrs)
- Last Updated
- Nov 1, 2015
- Licenses
-
ME107749 (FL)35.079632 (OH)
Practice Information
- Address
-
1679 EAGLE HARBOR PKWYSUITE CFLEMING ISLAND, FL, 320034815Browse FL providers · Browse ZIP 32003
- Phone
- 9043480727
- Fax
- 9046219272
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- Plastic and Reconstructive Surgery
Other Plastic and Reconstructive Surgery Providers in FLEMING ISLAND, FL
| Name | Credential | NPI |
|---|---|---|
| RILEY AUSTIN SCHLUB | M.D. | 1568842904 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.