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Dr. Mark Allen Wallace, DO
Otolaryngology/Facial Plastic Surgery Physician in Sault Sainte Marie, Michigan
NPI 1952591828

Mark Allen Wallace is a Otolaryngology/Facial Plastic Surgery Physician based in Sault Sainte Marie, MI and is specialized in Otolaryngology/Facial Plastic Surgery. Mark Allen Wallace practices in Sault Sainte Marie, MI and has the professional credentials of DO. The NPI Number for Mark Allen Wallace is 1952591828 and holds a License No. 5101015234 (Michigan).

The current practice location address for Mark Allen Wallace is 333 Magazine St, Sault Sainte Marie, MI and can be reached out via phone at 906-259-0244 and via fax at 906-259-0247.

Location: 333 Magazine St, Sault Sainte Marie, MI, 49783-1867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952591828
Provider Name
Mark Allen Wallace
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
333 Magazine St, Sault Sainte Marie, MI, 49783-1867
Phone Number
906-259-0244
Fax Number
906-259-0247
Provider Enumeration Date
07/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
333 Magazine St
City
Sault Sainte Marie
State
Michigan
Zip
49783-1867
Phone Number
906-259-0244
Fax Number
906-259-0247
person
Provider Business Mailing Address Details
Address
333 Magazine St
City
Sault Sainte Marie
State
Michigan
Zip
49783-1867
Phone Number
906-259-0244
Fax Number
906-259-0247
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
5101015234 (Michigan)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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