person
Dr. Maxwell Wallace, MD
Neurology with Special Qualifications in Child Neurology Physician in Saint Louis, Missouri
NPI 1588195267

Maxwell Wallace is a Neurology with Special Qualifications in Child Neurology Physician based in Saint Louis, MO and is specialized in Neurology with Special Qualifications in Child Neurology. Maxwell Wallace practices in Saint Louis, MO and has the professional credentials of MD. The NPI Number for Maxwell Wallace is 1588195267 and holds a License No. 2022027207 (Missouri).

The current practice location address for Maxwell Wallace is 1465 S Grand Blvd, Saint Louis, MO and can be reached out via phone at 314-577-5634 and via fax at 314-577-5616.

Location: 1465 S Grand Blvd, Saint Louis, MO, 63104-1003
person
Provider Profile Details
NPI Number
1588195267
Provider Name
Maxwell Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1465 S Grand Blvd, Saint Louis, MO, 63104-1003
Phone Number
314-577-5634
Fax Number
314-577-5616
Provider Enumeration Date
03/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1465 S Grand Blvd
City
State
Zip
63104-1003
Phone Number
314-577-5634
Fax Number
314-577-5616
person
Provider Business Mailing Address Details
Address
1465 S Grand Blvd
City
State
Zip
63104-1003
Phone Number
314-577-5634
Fax Number
314-577-5616
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
License No.
2022027207 (Missouri)
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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