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1801864350
BRIAN WALLACE
BALTIMORE, MD
NPI
1801864350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: MD D31136)
Enumeration Date
2006-03-10
Last Update Date
2013-02-28
Business Address
Dr. BRIAN WALLACE MD
9005 KILBRIDE RD
BALTIMORE, MD 21236-2017
Phone number: 443-904-6999
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Mailing Address
Dr. BRIAN WALLACE MD
9005 KILBRIDE RD
BALTIMORE, MD 21236-2017
Phone number: 443-904-6999
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