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1083848063
DANIEL CHARLES WALLACE
CAMBRIDGE, MN
NPI
1083848063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 53228)
Enumeration Date
2009-05-06
Last Update Date
2021-03-11
Business Address
DANIEL CHARLES WALLACE M.D.
701 DELLWOOD ST S
CAMBRIDGE, MN 55008-1920
Phone number: 763-689-7700
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Mailing Address
DANIEL CHARLES WALLACE M.D.
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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