Michael Wallace in Jacksonville - Gastroenterology
Michael Wallace - NPI 1942299821
Michael Wallace is a Gastroenterology in Jacksonville, Florida. Michael Wallace practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Michael Wallace is 1942299821. The last update date is 2020-08-31.
Michael Wallace's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Michael Wallace is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Wallace |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942299821 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2020-08-31 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | ME87117 |
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Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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What is the unique identifier code issued to Michael Wallace by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Wallace has been assigned the NPI (National Provider Identifier) 1942299821. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Michael Wallace is geographically located?
The Michael Wallace is physically situated at the following location: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.
What is Michael Wallace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Wallace is Gastroenterology, and the taxonomy code that categorizes this field of expertise is 207Rg0100X.
On what date did the Michael Wallace receive the assignment of its 1942299821 from the Centers for Medicare & Medicaid Services?
The Michael Wallace was issued its 1942299821 by the Centers for Medicare & Medicaid Services on 2005-10-13.
As of what date were the Michael Wallace's details last updated?
The information pertaining to the Michael Wallace, including its address, specialty, and other details, was most recently updated on 2020-08-31.
NPI Number: 1376546309
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