Individual
CHRISTOPHER WADE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SUTTER SOLANO MEDICAL CENTER, 300 HOSPITAL DRIVE, VALLEJO, CA 94589
(707) 554-4444
Mailing address
240 DUNDEE WAY, BENICIA, CA 94510-1902
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A72335
CA
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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