Individual
GRANT MEYER WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 S 48TH ST, LINCOLN, NE 68506-1283
(402) 483-3333
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35718
NE
Other
Enumeration date
03/20/2014
Last updated
09/12/2023
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