DAVID WALLACE

BELLEVILLE, IL
NPI1609804525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL  036092919)
Enumeration Date2006-06-29
Last Update Date2017-04-17
Business Address
-- DAVID WALLACE M.D.
340 W LINCOLN ST
BELLEVILLE, IL 62220-1900
Phone number: 618-233-6044
Mailing Address
-- DAVID WALLACE M.D.
340 W LINCOLN ST
BELLEVILLE, IL 62220-1900
Phone number: 618-233-6044
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