Individual
MR. AARON MICHAEL WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
246 GRANGER RD STE 1, BARRE, VT 05641-5352
(802) 371-5950
Mailing address
17 WINGATE DR, PORTLAND, ME 04102-1829
(860) 214-6273
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD23914
ME
Other
Enumeration date
08/01/2017
Last updated
09/11/2025
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