person
Mr. Robert Eric Wallace, APN
Family Nurse Practitioner in Macomb, Illinois
NPI 1720007156

Robert Eric Wallace is a Family Nurse Practitioner based in Macomb, IL and is specialized in Family. Robert Eric Wallace practices in Macomb, IL and has the professional credentials of APN. The NPI Number for Robert Eric Wallace is 1720007156 and holds a License No. (Illinois).

The current practice location address for Robert Eric Wallace is 1 University Cir, Macomb, IL and can be reached out via phone at 309-298-1888 and via fax at 309-298-2188.

Location: 1 University Cir, Macomb, IL, 61455-1367
person
Provider Profile Details
NPI Number
1720007156
Provider Name
Robert Eric Wallace
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
1 University Cir, Macomb, IL, 61455-1367
Phone Number
309-298-1888
Fax Number
309-298-2188
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1 University Cir
City
State
Zip
61455-1367
Phone Number
309-298-1888
Fax Number
309-298-2188
person
Provider Business Mailing Address Details
Address
1 University Cir
City
State
Zip
61455-1367
Phone Number
309-298-1888
Fax Number
309-298-2188
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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