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1255309720
ERIC D WALLISA
INDIANAPOLIS, IN
NPI
1255309720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01054688A)
Enumeration Date
2006-03-10
Last Update Date
2023-03-07
Business Address
Dr. ERIC D WALLISA M.D.
5955 S EMERSON AVE 100
INDIANAPOLIS, IN 46237-2525
Phone number: 317-789-9600
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Mailing Address
Dr. ERIC D WALLISA M.D.
5955 S EMERSON AVE 100
INDIANAPOLIS, IN 46237-2525
Phone number: 317-789-9600
Copy
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