NPI 1013058932

Douglas McKay Wallace, MD

Practitioner Neurology Physician Miami, FL

Practice location

Address: 1201 NW 16th St Miami VA Medical Center, Dept of Neurology, Miami, FL 33125-1624
Phone: (305) 575-7000
Mailing address: 11104 SW 139th CT, Miami, FL 33186-3251

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence ME94643 (FL)

Other Psychiatry & Neurology providers in Florida →

Registry record

NPI: 1013058932
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.