Individual
FREDRICK H WALLISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 READ ST, EVANSVILLE, IN 47710-1739
(812) 450-3363
(812) 450-3071
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-3363
(812) 450-3071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059213A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042820
—
IN
01
—
P00315732
RR MEDICARE
IN
Enumeration date
03/23/2006
Last updated
09/15/2014
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