Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WALLACE M ANDERSON, MD
ActiveDR. WALLACE M ANDERSON, MD is a Diagnostic Radiology healthcare provider located in SPRINGFIELD, Illinois. NPI 1578510913 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1578510913
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2006 (20.024035074953 yrs)
- Last Updated
- Jan 30, 2024
- License
-
36082306 (IL)
Practice Information
- Address
-
800 E CARPENTER STSPRINGFIELD, IL, 627695360Browse IL providers · Browse ZIP 62769
- Phone
- 2175446464
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| SCOTT E. PREUSEN | M.D. | 1437151826 |
| DR. OMER M AKER | MD | 1205821543 |
| DR. CLARENCE RAYMOND REILLY | MD | 1669453338 |
| DR. JEFFREY P CULLEN | MD | 1861463101 |
| STEPHANIE HEATHER SWOPE | MD | 1164484846 |
| WILLETT PANG | MD | 1407813637 |
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.