Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN R WALLACE, MD
ActiveJOHN R WALLACE, MD is a Infectious Disease healthcare provider located in MARQUETTE, Michigan. NPI 1457346967 is currently active in the NPPES registry. Verify at CMS.
Infectious Disease · MARQUETTE, MI
Registration Details
- NPI Number
- 1457346967
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2005 (20.949041916536 yrs)
- Last Updated
- Apr 22, 2009
- License
-
4301075195 (MI)
Practice Information
- Address
-
1414 W FAIR AVESUITE 111MARQUETTE, MI, 498552675Browse MI providers · Browse ZIP 49855
- Phone
- 9062257601
- Fax
- 9062257453
- Primary Specialty
-
Infectious Disease
207RI0200X
Other Infectious Disease Providers in MARQUETTE, MI
| Name | Credential | NPI |
|---|---|---|
| JEFFREY F GEPHART | MD | 1457345126 |
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.