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1417920711
ROBERT B WALLACE
IOWA CITY, IA
NPI
1417920711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IA 18838)
Enumeration Date
2006-02-08
Last Update Date
2007-12-19
Business Address
ROBERT B WALLACE MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-384-5005
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Mailing Address
ROBERT B WALLACE MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-384-5005
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