Douglas C Wallace in Grove City - Family Medicine
Douglas C Wallace - NPI 1063451144
Douglas C Wallace is a Family Medicine in Grove City, Ohio. Douglas C Wallace practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Douglas C Wallace is 1063451144. The last update date is 2023-07-21.
Douglas C Wallace's current location address is 4072 Gantz Rd, Grove City, Ohio. You can contact this provider via phone number 6148750011 and fax number 6145397287. The mailing address for Douglas C Wallace is 4072 Gantz Rd, Grove City, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Douglas C Wallace |
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Address | 4072 Gantz Rd, Grove City, Ohio |
Phone Number | 6148750011 |
Fax Number | 6145397287 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1063451144 |
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Provider Enumeration Date | 2006-06-05 |
Last Updated Date | 2023-07-21 |
Provider Mailing Address Detail
Address | 4072 Gantz Rd |
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City | Grove City |
State | Ohio (OH) |
Post Code | 431234816 |
Phone Number | 6148750011 |
Fax Number | 6145397287 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 35.04978 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
586996 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Douglas C Wallace?
The Douglas C Wallace has been issued the NPI (National Provider Identifier) 1063451144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Douglas C Wallace is physically located?
The Douglas C Wallace is situated at the following address: 4072 Gantz Rd, Grove City, OH 431234816.
What is Douglas C Wallace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Douglas C Wallace is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did Douglas C Wallace receive its 1063451144 assignment from the Centers for Medicare & Medicaid Services?
The Douglas C Wallace was assigned its 1063451144 on 2006-06-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Douglas C Wallace most recently updated or revised?
The details related to Douglas C Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2023-07-21.