Individual
STACY WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 KENILWORTH AVE, TOLEDO, OH 43610-1456
(419) 810-0900
Mailing address
324 KENILWORTH AVE, TOLEDO, OH 43610-1456
(419) 810-0900
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RX730744
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85052075
—
OH
Enumeration date
04/22/2020
Last updated
04/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us