Individual
MS. ROSE A WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
865 LINCOLN RD STE 100, BETTENDORF, IA 52722-4159
(563) 355-1000
(563) 344-2975
Mailing address
865 LINCOLN RD STE 100, BETTENDORF, IA 52722-4159
(563) 355-1000
(563) 344-2975
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F078122
IA
Other
Enumeration date
09/29/2006
Last updated
08/05/2021
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