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Thomas M Wallace, MD
Critical Care Medicine (Internal Medicine) Physician in Modesto, California
NPI 1679641666

Thomas M Wallace is a Critical Care Medicine (Internal Medicine) Physician based in Modesto, CA and is specialized in Critical Care Medicine. Thomas M Wallace practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Thomas M Wallace is 1679641666 and holds a License No. G42269 (California).

The current practice location address for Thomas M Wallace is 1441 Florida Ave, Modesto, CA and can be reached out via phone at 209-576-3525 and via fax at 209-576-3544. You can also correspond with Thomas M Wallace through the mailing address at 1441 FLORIDA AVE, MODESTO, CA - 95350-4405 (mailing address contact number: 209-576-3525).

Location: 1441 Florida Ave, Modesto, CA, 95350-4405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679641666
Provider Name
Thomas M Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1441 Florida Ave, Modesto, CA, 95350-4405
Phone Number
209-576-3525
Fax Number
209-576-3544
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1441 Florida Ave
City
Modesto
State
California
Zip
95350-4405
Phone Number
209-576-3525
Fax Number
209-576-3544
person
Provider Business Mailing Address Details
Address
1441 Florida Ave
City
Modesto
State
California
Zip
95350-4405
Phone Number
209-576-3525
Fax Number
209-576-3544
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
G42269 (California)
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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