MERVIN P WALLACE

TALLAHASSEE, FL
NPI1346269883
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QG0300X Family Medicine Geriatric Medicine
(Licence: FL  ME95779)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  ME95779)
Enumeration Date2006-07-18
Last Update Date2024-10-11
Business Address
MERVIN P WALLACE MD
1264 METROPOLITAN BLVD
TALLAHASSEE, FL 32312-2536
Phone number: 850-383-3471
Mailing Address
MERVIN P WALLACE MD
PO BOX 15349
TALLAHASSEE, FL 32317-5349
Phone number: