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1013058932
DOUGLAS MCKAY WALLACE
MIAMI, FL
NPI
1013058932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: FL ME94643)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Dr. DOUGLAS MCKAY WALLACE MD
1201 NW 16TH ST MIAMI VA MEDICAL CENTER, DEPT OF NEUROLOGY
MIAMI, FL 33125-1624
Phone number: 305-575-7000
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Mailing Address
Dr. DOUGLAS MCKAY WALLACE MD
11104 SW 139TH CT
MIAMI, FL 33186-3251
Phone number: 305-387-7346
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