NPI 1205861606

Virginia L Wallace, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician West Allis, WI

Practice location

Address: 8901 W Lincoln Avenue, West Allis, WI 53227-2477
Phone: (414) 328-7950
Fax: (414) 328-8505

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 41111 (WI)

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Registry record

NPI: 1205861606
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2006
Record last updated: 30 Dec 2021

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.