Individual
WILLIAM D WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3824 NORTHERN PIKE STE 820, MONROEVILLE, PA 15146-2141
(412) 457-0424
Mailing address
2 ALLEGHENY CTR STE 530, PITTSBURGH, PA 15212-5404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.015784
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34.015784
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS026321
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
SP034500
PA
207RP1001X
Pulmonary Disease Physician
34.015784
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
08/06/2026
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