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Individual

DAVID CARTER WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 293-4837
(614) 293-3125
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-4837
(614) 293-3125

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
34.016440
OH

Other

Enumeration date
04/09/2020
Last updated
06/02/2025
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