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Dr. Adam Donald Wallace, MD
Neurology with Special Qualifications in Child Neurology Physician in Rochester, Minnesota
NPI 1386969079

Adam Donald Wallace is a Neurology with Special Qualifications in Child Neurology Physician based in Middleton, MN and is specialized in Neurology with Special Qualifications in Child Neurology. Adam Donald Wallace practices in Rochester, MN and has the professional credentials of MD. The NPI Number for Adam Donald Wallace is 1386969079 and holds a License No. 036145300 (Minnesota).

The current practice location address for Adam Donald Wallace is 200 1St St Sw, Rochester, MN and can be reached out via phone at 507-284-2511. You can also correspond with Adam Donald Wallace through the mailing address at 7974 UW HEALTH CT, MIDDLETON, WI - 53562-5531 (mailing address contact number: 608-829-5485).

Location: 200 1St St Sw, Rochester, MN, 53562-5531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386969079
Provider Name
Adam Donald Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 1St St Sw, Rochester, MN, 53562-5531
Phone Number
507-284-2511
Fax Number
Provider Enumeration Date
04/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1386969079 05 WI
institution
Provider Business Practice Location Address Details
Address
200 1St St Sw
City
Rochester
State
Minnesota
Zip
55905
Phone Number
507-284-2511
Fax Number
person
Provider Business Mailing Address Details
Address
200 1St St Sw
City
Rochester
State
Minnesota
Zip
55905
Phone Number
507-284-2511
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
67056-20 (Wisconsin)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
036145300 (Illinois)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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