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1578510913
WALLACE M ANDERSON
SPRINGFIELD, IL
NPI
1578510913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 36082306)
Enumeration Date
2006-05-30
Last Update Date
2024-01-30
Business Address
Dr. WALLACE M ANDERSON MD
800 E CARPENTER ST
SPRINGFIELD, IL 62769-5360
Phone number: 217-544-6464
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Mailing Address
Dr. WALLACE M ANDERSON MD
111 OAKWOOD RD
EAST PEORIA, IL 61611-1853
Phone number: 309-740-4272
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