Individual
DR. STEPHEN STOCKTON WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3435 FARM BANK WAY, GROVE CITY, OH 43123-1974
(614) 539-0405
(614) 539-0554
Mailing address
3435 FARM BANK WAY, GROVE CITY, OH 43123-1974
(614) 539-0405
(614) 539-0554
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4116
OH
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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