DR. Mark Allen Wallace, D.O. is an otolaryngology/facial plastic surgery otolaryngology in Sault Sainte Marie, MI with 22 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DR. Mark Allen Wallace, D.O. NPI is 1952591828. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:2002
The provider's business location address is:
333 MAGAZINE ST
SUITE 101
SAULT SAINTE MARIE, MI
ZIP 49783-867
Phone: (906) 259-0244
Fax: (906) 259-0247
The NPI 1952591828 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/27/2007 and was last updated on 10/15/2012.