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1063451144
DOUGLAS C WALLACE
GROVE CITY, OH
NPI
1063451144
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Other Name
DOUGLAS CRAIG WALLACE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 35.049780)
Enumeration Date
2006-06-05
Last Update Date
2023-07-21
Business Address
DOUGLAS C WALLACE MD
4072 GANTZ RD
GROVE CITY, OH 43123-4816
Phone number: 614-875-0011
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Mailing Address
DOUGLAS C WALLACE MD
4072 GANTZ RD
GROVE CITY, OH 43123-4816
Phone number: 614-875-0011
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