JOHN G WALLACE

SHORELINE, WA
NPI1346379161
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WA  00008964)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
Dr. JOHN G WALLACE m.d.
17515 N PARK PL N
SHORELINE, WA 98133-4803
Phone number: 206-533-2158
Mailing Address
Dr. JOHN G WALLACE m.d.
17515 N PARK PL N
SHORELINE, WA 98133-4803
Phone number: 206-533-2158
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