Individual
DR. WESLEY ROBERT WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 E HOLLIS ST, NASHUA, NH 03060-2928
(603) 577-4000
Mailing address
18 CANOE LN, MOULTONBOROUGH, NH 03254-4941
(603) 253-9046
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5806
NH
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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