Individual
MICHAEL LLOYD WALLACE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
522 ALPHA DR, PITTSBURGH, PA 15238-2912
(412) 968-9266
(412) 968-5673
Mailing address
522 ALPHA DR, PITTSBURGH, PA 15238-2912
(412) 968-9266
(412) 968-5673
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
MD073644L
PA
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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