MICHAEL JASON WALLACE

CATONSVILLE, MD
NPI1902005747
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: MD  D0065277)
Enumeration Date2007-07-12
Last Update Date2022-04-04
Business Address
Dr. MICHAEL JASON WALLACE M.D.
910 FREDERICK RD
CATONSVILLE, MD 21228-4516
Phone number: 410-644-1880
Mailing Address
Dr. MICHAEL JASON WALLACE M.D.
910 FREDERICK RD
CATONSVILLE, MD 21228-4516
Phone number: 410-644-1880
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