Douglas M Wallen in Champaign - General Practice
Douglas M Wallen - NPI 1407010176
Douglas M Wallen is a General Practice in Champaign, Illinois. Douglas M Wallen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Douglas M Wallen is 1407010176. The last update date is 2008-07-11.
Douglas M Wallen's current location address is 2502 Galen Dr, Champaign, Illinois. You can contact this provider via phone number 2173660050. The mailing address for Douglas M Wallen is 2502 Galen Dr, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Douglas M Wallen |
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Address | 2502 Galen Dr, Champaign, Illinois |
Phone Number | 2173660050 |
Fax Number | |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1407010176 |
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Provider Enumeration Date | 2008-07-11 |
Last Updated Date | 2008-07-11 |
Provider Mailing Address Detail
Address | 2502 Galen Dr |
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City | Champaign |
State | Illinois (IL) |
Post Code | 618217045 |
Phone Number | 2173660050 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 19020653 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Douglas M Wallen by the Centers for Medicare & Medicaid Services (CMS)?
The Douglas M Wallen has been assigned the NPI (National Provider Identifier) 1407010176. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Douglas M Wallen?
The Douglas M Wallen is physically situated at 2502 Galen Dr, in the city of Champaign, state of IL, with the postal code 618217045.
What is Douglas M Wallen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Douglas M Wallen is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When was the Douglas M Wallen's 1407010176 issued?
The Douglas M Wallen's 1407010176 was issued on 2008-07-11.
When was the information regarding Douglas M Wallen most recently updated?
The details pertaining to the Douglas M Wallen, including its address, specialty, and other relevant information, were last refreshed on 2008-07-11.