MICHAEL WALLACE

JACKSONVILLE, FL
NPI1942299821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: FL  ME87117)
Enumeration Date2005-10-13
Last Update Date2020-08-31
Business Address
MICHAEL WALLACE MD
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
Mailing Address
MICHAEL WALLACE MD
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number:
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