Individual
CHRISTI ANN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
280 COMMERCIAL ST STE 2, ROANOKE, IN 46783-1045
(260) 254-1560
(301) 965-6155
Mailing address
280 COMMERCIAL ST STE 2, ROANOKE, IN 46783-1045
(260) 254-1560
(301) 965-6155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01072918A
IN
Other
Enumeration date
06/17/2011
Last updated
05/30/2025
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