PAUL MICHAEL WALLACE

PROVIDENCE, RI
NPI1265991335
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: RI  MD19363)
Enumeration Date2019-03-18
Last Update Date2023-10-10
Business Address
Dr. PAUL MICHAEL WALLACE MD
528 N MAIN ST
PROVIDENCE, RI 02904
Phone number: 401-528-0123
Mailing Address
Dr. PAUL MICHAEL WALLACE MD
528 N MAIN ST
PROVIDENCE, RI 02904
Phone number: 401-528-0123
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