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1073037016
AARON MICHAEL WALLACE
BARRE, VT
NPI
1073037016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: ME MD23914)
Enumeration Date
2017-08-01
Last Update Date
2024-12-09
Business Address
Mr. AARON MICHAEL WALLACE MD
246 GRANGER RD STE 1
BARRE, VT 05641-5352
Phone number: 802-371-5950
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Mailing Address
Mr. AARON MICHAEL WALLACE MD
17 WINGATE DR
PORTLAND, ME 04102-1829
Phone number: 860-214-6273
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