MICHAEL S. WALLACK

SAN FERNANDO, CA
NPI1689791139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  G12118)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
-- MICHAEL S. WALLACK M.D.
1600 SAN FERNANDO ROAD
SAN FERNANDO, CA 91340
Phone number: 818-365-8086
Mailing Address
-- MICHAEL S. WALLACK M.D.
4801 BRANDENBURG
TARZANA, CA 91350
Phone number: 818-342-4440