JOHN R WALLACE

MARQUETTE, MI
NPI1457346967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: MI  4301075195)
Enumeration Date2005-09-12
Last Update Date2009-04-22
Business Address
-- JOHN R WALLACE MD
1414 W FAIR AVE SUITE 111
MARQUETTE, MI 49855-2675
Phone number: 906-225-7601
Mailing Address
-- JOHN R WALLACE MD
4602 DEPT
CAROL STREAM, IL 60122-0021
Phone number: 906-225-7601
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