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1417996232
DAVID LEE WALLACE
MARION, IN
NPI
1417996232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01027186)
Enumeration Date
2006-06-06
Last Update Date
2012-10-19
Business Address
-- DAVID LEE WALLACE M.D.
441 N WABASH AVE
MARION, IN 46952-2612
Phone number: 765-660-7600
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Mailing Address
-- DAVID LEE WALLACE M.D.
330 NORTH WABASH AVE. SUITE G20
MARION, IN 46952-2600
Phone number: 765-660-6411
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