Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JASON WALLACE, M.D.
ActiveDR. MICHAEL JASON WALLACE, M.D. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in CATONSVILLE, Maryland. NPI 1902005747 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · CATONSVILLE, MD
Registration Details
- NPI Number
- 1902005747
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2007 (19.046557424663 yrs)
- Last Updated
- Apr 4, 2022
- License
-
D0065277 (MD)
Practice Information
- Address
-
910 FREDERICK RDCATONSVILLE, MD, 212284516Browse MD providers · Browse ZIP 21228
- Phone
- 4106441880
- Fax
- 4106463623
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Other Adult Reconstructive Orthopaedic Surgery Providers in CATONSVILLE, MD
| Name | Credential | NPI |
|---|---|---|
| SCOTT M ADAMS | MD | 1386851681 |
| DR. RALPH THOMAS ZADE III | M.D. | 1194082115 |
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.