DREW MICHAEL WALLACE

POPLAR GROVE, IL
NPI1669878625
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  200014924)
Enumeration Date2014-11-18
Last Update Date2014-11-18
Business Address
-- DREW MICHAEL WALLACE ATC
17823 POPLAR GROVE RD
POPLAR GROVE, IL 61065-9014
Phone number: 815-765-3311
Mailing Address
-- DREW MICHAEL WALLACE ATC
5061 LINDEN RD #5303
ROCKFORD, IL 61109-5834
Phone number: 815-878-5391
Similar providers in Poplar Grove, IL
JOSEPH M ROCUSKIE
JESSICA BALLARD