Eric D Wallisa is a Family Medicine Physician based in Indianapolis, IN. Eric D Wallisa practices in Indianapolis, IN and has the professional credentials of MD. The NPI Number for Eric D Wallisa is 1255309720 and holds a License No. 01054688A (Indiana).
The current practice location address for Eric D Wallisa is 5955 S Emerson Ave, Indianapolis, IN and can be reached out via phone at 317-789-9600 and via fax at 317-789-0600.
Identifier | Type | State | Issuer |
---|---|---|---|
01054688A | 01 | IN | STATE MEDICAL LICENSE |
01054688B | 01 | IN | STATE CSR |
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