Individual
JAMES M WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37316
WI
208000000X
Pediatrics Physician
37316
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0413704
MEDICA
—
01
—
110168453
RAILROAD
—
01
—
27G52WA
BLUE CROSS MN FACILITY
MN
05
—
32379700
—
WI
01
—
64Q42WA
BLUE CROSS MN PRO FEE
MN
05
—
948017000
—
MN
01
—
HP27845
HEALTHPARTNERS
—
01
—
NA9031017009
PREFERREDONE
—
Enumeration date
09/02/2006
Last updated
02/02/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up