RYAN C WALLACE

MUNCIE, IN
NPI1316086291
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  01061221A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  01061221A)
Enumeration Date2007-02-06
Last Update Date2021-03-06
Business Address
RYAN C WALLACE MD
2401 W UNIVERSITY AVE
MUNCIE, IN 47303-3428
Phone number: 765-747-3241
Mailing Address
RYAN C WALLACE MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: