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1639287212
PAUL WALLACE
PHILADELPHIA, PA
NPI
1639287212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD458894)
Enumeration Date
2006-08-25
Last Update Date
2022-08-23
Business Address
PAUL WALLACE M.D.
7806 CRESHEIM RD
PHILADELPHIA, PA 19118-4003
Phone number: 215-930-6630
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Mailing Address
PAUL WALLACE M.D.
801 JOE MANN BLVD STE P-6
MIDLAND, MI 48642-8900
Phone number: 989-791-2455
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