AMANDA WALLACE

APPLETON, WI
NPI1992408587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: WI  APRN11024430)
Enumeration Date2023-03-23
Last Update Date2025-10-08
Business Address
AMANDA WALLACE APRN
1531 S MADISON ST FL 3
APPLETON, WI 54915-1800
Phone number: 920-749-4000
Mailing Address
AMANDA WALLACE APRN
1531 S MADISON ST FL 3
APPLETON, WI 54915-1800
Phone number: 920-749-4000
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