Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ADAM GREGORY WALLACH, M.D.
Active Sole ProprietorDR. ADAM GREGORY WALLACH, M.D. is a Procedural Dermatology healthcare provider located in DANVILLE, California. NPI 1982741021 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · DANVILLE, CA
Registration Details
- NPI Number
- 1982741021
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2007 (19.579229367886 yrs)
- Last Updated
- May 17, 2022
- Licenses
-
G85998 (CA)G85998 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 EL CERRO BLVDSUITE 204DANVILLE, CA, 945261731Browse CA providers · Browse ZIP 94526
- Phone
- 9258378848
- Fax
- 9258374808
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Procedural Dermatology
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.