Individual
DR. WILLIAM JOHN WALLISCH IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3471 5TH AVE, SUITE 910, PITTSBURGH, PA 15213-3215
(412) 647-2994
Mailing address
306 4TH AVE, UNIT 703, PITTSBURGH, PA 15222-2003
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT200469
PA
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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