Individual
STEVEN TODD WALLENIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 N PINE ST STE 200, SPARTANBURG, SC 29302-1604
(864) 582-7773
(864) 582-8637
Mailing address
101 N PINE ST STE 200, SPARTANBURG, SC 29302-1604
(828) 582-7773
(864) 582-8637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
009601172
NC
207Q00000X
Family Medicine Physician
Primary
95799
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891252T
—
NC
05
—
957995
—
SC
Enumeration date
10/04/2006
Last updated
04/15/2026
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