person
Charles W Wallace, MD
Family Medicine Physician in Canton, Ohio
NPI 1780652792

Charles W Wallace is a Family Medicine Physician based in Canton, OH. Charles W Wallace practices in Canton, OH and has the professional credentials of MD. The NPI Number for Charles W Wallace is 1780652792 and holds a License No. 35080468W (Ohio).

The current practice location address for Charles W Wallace is 4455 Dressler Rd Nw, Canton, OH and can be reached out via phone at 330-497-6555 and via fax at 330-497-3281. You can also correspond with Charles W Wallace through the mailing address at 4455 DRESSLER RD NW, CANTON, OH - 44718-2785 (mailing address contact number: 330-497-6555).

Location: 4455 Dressler Rd Nw, Canton, OH, 44718-2785
person
Provider Profile Details
NPI Number
1780652792
Provider Name
Charles W Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4455 Dressler Rd Nw, Canton, OH, 44718-2785
Phone Number
330-497-6555
Fax Number
330-497-3281
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2374014 05 OH
000000490965 01 ANTHEM BCBS
Q016786D 01 HOMETOWN
000000189519 01 THREE RIVERS HEALTH PLANS
733074 01 BUCKEYE COMMUNITY HEALTH
1074 01 SUMMACARE HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
4455 Dressler Rd Nw
City
State
Zip
44718-2785
Phone Number
330-497-6555
Fax Number
330-497-3281
person
Provider Business Mailing Address Details
Address
4455 Dressler Rd Nw
City
State
Zip
44718-2785
Phone Number
330-497-6555
Fax Number
330-497-3281
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
35080468W (Ohio)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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