Wallace, Virginia L

Wallace, Virginia L is an individual health care provider with primary practice located at 8901 W Lincoln Avenue , West Allis WI 53227-2477. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Wallace, Virginia L can be contacted via phone (414) 328-7950.

Contact Information

Primary practice address
8901 W Lincoln Avenue West Allis WI 53227-2477
Phone: (414) 328-7950
Fax: (414) 328-8505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 41111 Wisconsin

Profile Details

NPI number 1205861606
LBN Legal business name Wallace, Virginia L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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