David Lee Wallace in Marion - Internal Medicine
David Lee Wallace - NPI 1417996232
David Lee Wallace is a Internal Medicine in Marion, Indiana. David Lee Wallace practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for David Lee Wallace is 1417996232. The last update date is 2012-10-19.
David Lee Wallace's current location address is 441 N Wabash Ave, Marion, Indiana. You can contact this provider via phone number 7656607600 and fax number 7656517313. The mailing address for David Lee Wallace is 441 N Wabash Ave, Marion, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Lee Wallace |
|---|---|
| Address | 441 N Wabash Ave, Marion, Indiana |
| Phone Number | 7656607600 |
| Fax Number | 7656517313 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417996232 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2012-10-19 |
Provider Mailing Address Detail
| Address | 441 N Wabash Ave |
|---|---|
| City | Marion |
| State | Indiana (IN) |
| Post Code | 469522612 |
| Phone Number | 7656607600 |
| Fax Number | 7656517313 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 1027186 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100066360 | IN | -- | |
| 530919 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to David Lee Wallace by the Centers for Medicare & Medicaid Services?
The David Lee Wallace has been issued the NPI (National Provider Identifier) 1417996232, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the David Lee Wallace's physical address?
The David Lee Wallace is physically located at 441 N Wabash Ave, in the city of Marion, IN, with the postal code 469522612.
What is the David Lee Wallace's specialty and taxonomy code?
The David Lee Wallace's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417996232 to David Lee Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1417996232 to David Lee Wallace on 2006-06-06.
When was the information pertaining to David Lee Wallace most recently updated or revised?
The details related to David Lee Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-19.