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Daniel Charles Wallace, MD
Family Medicine Physician in Cambridge, Minnesota
NPI 1083848063

Daniel Charles Wallace is a Family Medicine Physician based in Minneapolis, MN. Daniel Charles Wallace practices in Cambridge, MN and has the professional credentials of MD. The NPI Number for Daniel Charles Wallace is 1083848063 and holds a License No. 53228 (Minnesota).

The current practice location address for Daniel Charles Wallace is 701 Dellwood St S, Cambridge, MN and can be reached out via phone at 763-689-7700.

Location: 701 Dellwood St S, Cambridge, MN, 55407-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083848063
Provider Name
Daniel Charles Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
701 Dellwood St S, Cambridge, MN, 55407-1321
Phone Number
763-689-7700
Fax Number
Provider Enumeration Date
05/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083848063 01 MN BCBS
1083848063 05 MN
P00860753 01 RAILROAD MEDICARE
01-42353 01 MEDICA
institution
Provider Business Practice Location Address Details
Address
701 Dellwood St S
City
Cambridge
State
Minnesota
Zip
55008-1920
Phone Number
763-689-7700
Fax Number
person
Provider Business Mailing Address Details
Address
701 Dellwood St S
City
Cambridge
State
Minnesota
Zip
55008-1920
Phone Number
763-689-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
53228 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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