Individual
MICHAEL PATRICK WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9225 MANCHESTER RD, SUITE 101, SAINT LOUIS, MO 63144-2640
(314) 968-0003
(314) 968-0383
Mailing address
9225 MANCHESTER RD, SUITE 101, SAINT LOUIS, MO 63144-2640
(314) 968-0003
(314) 968-0383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13992
MO
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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