Individual
DR. WALLACE R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-7877
(410) 328-1048
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
207RH0005X
Hypertension Specialist Physician
Primary
D38086
MD
Other
Enumeration date
06/13/2006
Last updated
07/16/2019
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