ROBERT ERIC WALLACE

MACOMB, IL
NPI1720007156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209-005245)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
Mr. ROBERT ERIC WALLACE APN
1 UNIVERSITY CIR
MACOMB, IL 61455-1367
Phone number: 309-298-1888
Mailing Address
Mr. ROBERT ERIC WALLACE APN
1 UNIVERSITY CIR
MACOMB, IL 61455-1367
Phone number: 309-298-1888
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