THOMAS M WALLACE

MODESTO, CA
NPI1679641666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: CA  G42269)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
-- THOMAS M WALLACE M.D.
1441 FLORIDA AVE
MODESTO, CA 95350-4405
Phone number: 209-576-3525
Mailing Address
-- THOMAS M WALLACE M.D.
1441 FLORIDA AVE
MODESTO, CA 95350-4405
Phone number: 209-576-3525
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