-- JOHN R WALLACE MD ⚕️ Michigan 1457346967

NPI	1457346967
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301075195)
Enumeration Date	2005-09-12
Last Update Date	2009-04-22

-- JOHN R WALLACE MD

1414 W FAIR AVE SUITE 111

MARQUETTE, MI 49855-2675

Phone number: 906-225-7601

-- JOHN R WALLACE MD

4602 DEPT

CAROL STREAM, IL 60122-0021

Phone number: 906-225-7601