Dr. Wallace M Anderson, MD - Springfield, IL

Dr. Wallace M Anderson, MD

Diagnostic Radiology Physician in Springfield, Illinois

NPI 1578510913

Wallace M Anderson is a Diagnostic Radiology Physician based in East Peoria, IL and is specialized in Diagnostic Radiology. Wallace M Anderson practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Wallace M Anderson is 1578510913 and holds a License No. 36082306 (Illinois).

The current practice location address for Wallace M Anderson is 800 E Carpenter St, Springfield, IL and can be reached out via phone at 217-544-6464.

Location: 800 E Carpenter St, Springfield, IL, 61611-1853

NPI Number

1578510913

Provider Name

Wallace M Anderson

Credential

Provider Entity Type

Individual

Gender

Male

Address

800 E Carpenter St, Springfield, IL, 61611-1853

Phone Number

217-544-6464

Fax Number

Provider Enumeration Date

05/30/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
0360823063	05	IL
1333997	01	TN	BCBS OF TN

Address

800 E Carpenter St

City

Springfield

State

Illinois

Zip

62769-5360

Phone Number

217-544-6464

Fax Number

Address

800 E Carpenter St

City

Springfield

State

Illinois

Zip

62769-5360

Phone Number

217-544-6464

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Radiology

Speciality

Diagnostic Radiology

Taxonomy

2085R0202X

License No.

36082306 (Illinois)

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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