ERNEST WALLACE

QUINCY, IL
NPI1871566653
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036113040)
Enumeration Date2006-02-10
Last Update Date2010-02-12
Business Address
-- ERNEST WALLACE MD
1025 MAINE ST
QUINCY, IL 62301-4038
Phone number: 217-222-6550
Mailing Address
-- ERNEST WALLACE MD
1025 MAINE ST
QUINCY, IL 62301-4038
Phone number: 217-222-6550
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