Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUGLAS CHARLES WALLACE, M.D.
ActiveDR. DOUGLAS CHARLES WALLACE, M.D. is a Thoracic Surgery (Cardiothoracic Vascular) healthcare provider located in LAFAYETTE, Indiana. NPI 1851470033 is currently active in the NPPES registry. Verify at CMS.
Thoracic Surgery (Cardiothoracic Vascular) · LAFAYETTE, IN
Registration Details
- NPI Number
- 1851470033
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2006 (19.795978527574 yrs)
- Last Updated
- Dec 19, 2012
- Licenses
-
G66727 (CA)036-101410 (IL)01071946A (IN)
Practice Information
- Address
-
3900 ST FRANCIS WAYSTE 201LAFAYETTE, IN, 479054923Browse IN providers · Browse ZIP 47905
- Phone
- 7654467981
- Fax
- 7654467982
- Primary Specialty
-
Thoracic Surgery (Cardiothoracic Vascular)
208G00000X
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
Other Thoracic Surgery (Cardiothoracic Vascular) Providers in LAFAYETTE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL JAY SCOTT SHERIDAN | M.D. | 1174519466 |
| DR. THOMAS X AUFIERO | M.D. | 1477534402 |
| KENNETH SAMUEL STONE | M.D. | 1770542441 |
| DR. KOK H LIM | MD | 1760413272 |
| RAJA S MAHIDHARA | MD | 1689771016 |
| DR. SURYA RAMACHANDRAN KUMAR | MD | 1154470466 |
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.