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John R Wallace, MD
Infectious Disease Physician in Marquette, Michigan
NPI 1457346967

John R Wallace is a Infectious Disease Physician based in Carol Stream, MI and is specialized in Infectious Disease. John R Wallace practices in Marquette, MI and has the professional credentials of MD. The NPI Number for John R Wallace is 1457346967 and holds a License No. 4301075195 (Michigan).

The current practice location address for John R Wallace is 1414 W Fair Ave, Marquette, MI and can be reached out via phone at 906-225-7601 and via fax at 906-225-7453.

Location: 1414 W Fair Ave, Marquette, MI, 60122-0021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457346967
Provider Name
John R Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1414 W Fair Ave, Marquette, MI, 60122-0021
Phone Number
906-225-7601
Fax Number
906-225-7453
Provider Enumeration Date
09/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
JW075195 01 MI BCBSM
110189987 01 MI RAILROAD MEDICARE
4138271 05 MI
institution
Provider Business Practice Location Address Details
Address
1414 W Fair Ave
City
Marquette
State
Michigan
Zip
49855-2675
Phone Number
906-225-7601
Fax Number
906-225-7453
person
Provider Business Mailing Address Details
Address
1414 W Fair Ave
City
Marquette
State
Michigan
Zip
49855-2675
Phone Number
906-225-7601
Fax Number
906-225-7453
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Infectious Disease
Taxonomy
207RI0200X
License No.
4301075195 (Michigan)
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
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