Mark Allen Wallace in Sault Sainte Marie - Otolaryngology/facial Plastic Surgery
Mark Allen Wallace - NPI 1952591828
Mark Allen Wallace is a Otolaryngology/facial Plastic Surgery in Sault Sainte Marie, Michigan. Mark Allen Wallace practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Mark Allen Wallace is 1952591828. The last update date is 2012-10-15.
Mark Allen Wallace's current location address is 333 Magazine St, Sault Sainte Marie, Michigan. You can contact this provider via phone number 9062590244 and fax number 9062590247. The mailing address for Mark Allen Wallace is 333 Magazine St, Sault Sainte Marie, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Allen Wallace |
|---|---|
| Address | 333 Magazine St, Sault Sainte Marie, Michigan |
| Phone Number | 9062590244 |
| Fax Number | 9062590247 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1952591828 |
|---|---|
| Provider Enumeration Date | 2007-07-27 |
| Last Updated Date | 2012-10-15 |
Provider Mailing Address Detail
| Address | 333 Magazine St |
|---|---|
| City | Sault Sainte Marie |
| State | Michigan (MI) |
| Post Code | 497831867 |
| Phone Number | 9062590244 |
| Fax Number | 9062590247 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 5101015234 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark Allen Wallace by the Centers for Medicare & Medicaid Services?
The Mark Allen Wallace has been assigned the NPI (National Provider Identifier) 1952591828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Mark Allen Wallace?
The Mark Allen Wallace is physically situated at 333 Magazine St, in the city of Sault Sainte Marie, state of MI, with the postal code 497831867.
What is Mark Allen Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Allen Wallace is Otolaryngology/facial Plastic Surgery, and the taxonomy code that classifies this field of practice is 207Yx0905X.
On what date did the Mark Allen Wallace receive the assignment of its 1952591828 from the Centers for Medicare & Medicaid Services?
The Mark Allen Wallace was issued its 1952591828 by the Centers for Medicare & Medicaid Services on 2007-07-27.
When was the information pertaining to Mark Allen Wallace most recently updated or revised?
The details related to Mark Allen Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-15.