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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICOLE MARIE WALLIS, MD

Active

DR. NICOLE MARIE WALLIS, MD is a Emergency Medicine healthcare provider located in WABASHA, Minnesota. NPI 1346443728 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · WABASHA, MN

Registration Details

NPI Number
1346443728
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2007 (19.183144996965 yrs)
Last Updated
Jul 12, 2022
Licenses
70944 (MN)
35089618 (OH)

Practice Information

Address
1200 GRANT BLVD W
WABASHA, MN, 559811042
Browse MN providers · Browse ZIP 55981
Phone
6515654531
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in WABASHA, MN

Name Credential NPI
KENT SHEPARD JEFFERY MD 1528020625
DR. PAUL C NYSTROM M.D. 1164445052
LUKE CARL HELLAND 1457617193
MARK SANDEFUR 1255674073
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.