Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WAYNE O WALLACE JR., MD
ActiveWAYNE O WALLACE JR., MD is a Family Medicine healthcare provider located in ATCHISON, Kansas. NPI 1639175292 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ATCHISON, KS
Registration Details
- NPI Number
- 1639175292
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2005 (21.118234485661 yrs)
- Last Updated
- Jan 28, 2010
- License
-
0413701 (KS)
Practice Information
- Address
-
810 RAVEN HILL DRIVEATCHISON, KS, 660021401Browse KS providers · Browse ZIP 66002
- Phone
- 9133676689
- Fax
- 9133605837
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ATCHISON, KS
| Name | Credential | NPI |
|---|---|---|
| JON M SIEBERT | MD | 1356347918 |
| DR. JOHN T GROWNEY | MD | 1902871353 |
| DR. MARY L RARDIN | MD | 1548237753 |
| DR. RYAN M. THOMAS | MD | 1942269121 |
| DR. KERSTIN M GLYNN | MD | 1033148507 |
| JOHN READ EPLEE | M.D. | 1114948635 |
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.