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1801982475
MICHAEL H WALLACE
CEDAR RAPIDS, IA
NPI
1801982475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 37120)
Enumeration Date
2006-10-04
Last Update Date
2021-06-16
Business Address
Dr. MICHAEL H WALLACE M.D.
788 8TH AVENUE SE SUITE 204
CEDAR RAPIDS, IA 52401
Phone number: 319-398-6342
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Mailing Address
Dr. MICHAEL H WALLACE M.D.
788 8TH AVENUE SE SUITE 204, MERCY EMPLOYEE HEALTH CENTER
CEDAR RAPIDS, IA 52401
Phone number: 319-398-6342
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