Individual
SHAWN MICHAEL WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 LIMBO LN, AMHERST, NH 03031-1870
(603) 673-5885
(603) 672-7150
Mailing address
PO BOX 3677, NASHUA, NH 03061-3677
(603) 577-7900
(603) 577-7972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34416
NH
207Q00000X
Family Medicine Physician
ME122253
FL
Other
Enumeration date
06/04/2012
Last updated
06/22/2025
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