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1376532168
DAVID W WALLACE
SHELBYVILLE, KY
NPI
1376532168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 22054)
Enumeration Date
2005-10-14
Last Update Date
2022-07-21
Business Address
-- DAVID W WALLACE MD MBA
515 HOSPITAL DR SUITE 1
SHELBYVILLE, KY 40065-1640
Phone number: 502-633-3525
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Mailing Address
-- DAVID W WALLACE MD MBA
100 E LIBERTY ST STE 800
LOUISVILLE, KY 40202-1428
Phone number: 502-633-3525
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