MICHAEL J. WALLACE

SANTA MONICA, CA
NPI1144304353
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  C41232)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
Dr. MICHAEL J. WALLACE M.D.
1328 22ND ST
SANTA MONICA, CA 90404-2032
Phone number: 310-471-5852
Mailing Address
Dr. MICHAEL J. WALLACE M.D.
11999 SAN VICENTE BLVD #440
LOS ANGELES, CA 90049-5131
Phone number: 310-471-5852
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