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1194764647
DIANE E WALLACE
WARSAW, IN
NPI
1194764647
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Other Name
DIANE E WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IN 01061919A)
Enumeration Date
2006-06-06
Last Update Date
2022-03-10
Business Address
DIANE E WALLACE MD
1355 MARINERS DR
WARSAW, IN 46582-7145
Phone number: 574-372-0000
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Mailing Address
DIANE E WALLACE MD
608 UNION CHAPEL RD
FORT WAYNE, IN 46845-9357
Phone number: 260-498-2020
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