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1023075637
ROBERT D WALLACE
MEMPHIS, TN
NPI
1023075637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: TN 27658)
Enumeration Date
2006-04-27
Last Update Date
2019-02-01
Business Address
Dr. ROBERT D WALLACE MD
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Phone number: 901-866-8525
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Mailing Address
Dr. ROBERT D WALLACE MD
1407 UNION AVE STE 700
MEMPHIS, TN 38104-3641
Phone number: 901-866-8622
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