Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN G WALLACE, M.D.
Active Sole ProprietorDR. JOHN G WALLACE, M.D. is a Psychiatry healthcare provider located in SHORELINE, Washington. NPI 1346379161 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · SHORELINE, WA
Registration Details
- NPI Number
- 1346379161
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2007 (19.475556089589 yrs)
- Last Updated
- Jul 8, 2007
- License
-
00008964 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17515 N PARK PL NSHORELINE, WA, 981334803Browse WA providers · Browse ZIP 98133
- Phone
- 2065332158
- Fax
- 2065332158
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in SHORELINE, WA
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE SUYDAM | — | 1518976828 |
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.