Individual
GAYLE M WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3385 DEXTER CT, STE 110, DAVENPORT, IA 52807-3494
(563) 355-2244
(563) 344-6701
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(563) 355-2244
(563) 344-6701
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
B096425
IA
Other
Enumeration date
01/16/2006
Last updated
02/13/2013
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