Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUMMER STAR WALLACE
ActiveSUMMER STAR WALLACE is a Foot & Ankle Surgery healthcare provider located in STOUT, Ohio. NPI 1629956396 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · STOUT, OH
Registration Details
- NPI Number
- 1629956396
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Aug 21, 2025 (0.97260298511371 yrs)
- Last Updated
- Aug 21, 2025
Practice Information
- Address
-
544 W FORK RDSTOUT, OH, 456849654Browse OH providers · Browse ZIP 45684
- Phone
- 9374215881
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in STOUT, OH
| Name | Credential | NPI |
|---|---|---|
| DESIREA RAECHELLE HOLSINGER | — | 1801416698 |
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.