John R Wallace (NPI# 1457346967, PAC ID# 8527193036) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1457346967 |
| PAC ID by PECOS | 8527193036 |
| Professional Enrollment ID | I20100322000729 |
| Full Name | John R Wallace |
| Organization Legal Name | DLP MARQUETTE PHYSICIAN PRACTICES INC |
| Address |
850 W Baraga Ave 32 Up Health System Marquette MI 49855-4550 |
| Phone Number | 9064493680 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1985 |
| Primary Specialty | INFECTIOUS DISEASE |
| Group Practice PAC ID | 9931359601 |
| Number of Group Practice Members | 141 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230054 | MARQUETTE GENERAL HOSPITAL |
| 231337 | OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP |
| 230108 | UP HEALTH SYSTEM PORTAGE |
| 231321 | BELL HOSPITAL |
| 231303 | SCHOOLCRAFT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1414 W Fair Ave, 344 Marquette General Med Specialists, Marquette, MI 49855-5407 | 9062253910 | DLP MARQUETTE PHYSICIAN PRACTICES INC |
| 850 W Baraga Ave, 32 Up Health System, Marquette, MI 49855-4550 | 9064493680 | DLP MARQUETTE PHYSICIAN PRACTICES INC |
| Organization Legal Name | DLP MARQUETTE PHYSICIAN PRACTICES INC |
| Physicians | 143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Marie Santoro | Emergency Medicine | Dlp Marquette Physician Practices Inc | 5087 Us Hwy 41 S, Harvey Marquette General Family Med, Marquette, MI 49855-9001 |
| Shawn Elizabeth-bott Brown | Emergency Medicine | Dlp Marquette Physician Practices Inc | 420 W Magnetic St, Marquette General Emergency Medicin, Marquette, MI 49855-2700 |
| Alisha A Wasilewski | Physician Assistant | Dlp Marquette Physician Practices Inc | 2002 Minneapolis Ave, Gladstone, MI 49837-2027 |
| Carol E Gamber | Psychiatry | Dlp Marquette Physician Practices Inc | 710 S Lincoln Rd, 700 Marquette General Neurosurgery, Escabana, MI 49829-1487 |
| Joel Ryan Dank | Family Medicine | Dlp Marquette Physician Practices Inc | 405 Us Hwy 41, Negaunee, MI 49866-1327 |
| Rudolph Francis Evonich Iii | Cardiac Electrophysiology | Dlp Marquette Physician Practices Inc | 510 Ashmun St, Suite 5, Sault Sainte Marie, MI 49783-1972 |
| Steven M Gualdoni | Physician Assistant | Dlp Marquette Physician Practices Inc | 1414 W Fair Ave, Marquette, MI 49855-2675 |
| Marcin Szember | Gastroenterology | Dlp Marquette Physician Practices Inc | 1414 W Fair Ave, Marquette, MI 49855-2675 |
| Christina D Selent | Physician Assistant | Dlp Marquette Physician Practices Inc | 1414 W Fair Ave, Marquette, MI 49855-2675 |
| Ashley Beaudry | Physician Assistant | Dlp Marquette Physician Practices Inc | 1414 W Fair Ave, Marquette, MI 49855-2675 |
| Street Address |
850 W BARAGA AVE 32 UP HEALTH SYSTEM |
| City | MARQUETTE |
| State | MI |
| Zip | 49855-4550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl F Eiben | Physical Medicine and Rehabilitation | Upper Peninsula Rehabilitation Medicine Associates PC | 850 W Baraga Ave, Suite 30, Marquette, MI 49855-4550 |
| Lisa A Kuopus | Certified Registered Nurse Anesthetist (crna) | Dlp Marquette General Hospital LLC | 850 W Baraga Ave, Marquette, MI 49855-4550 |
| Laura V Brouillette | Certified Registered Nurse Anesthetist (crna) | Dlp Marquette General Hospital LLC | 850 W Baraga Ave, Marquette, MI 49855-4550 |
| Christina Marie Barber | Certified Registered Nurse Anesthetist (crna) | Dlp Marquette General Hospital LLC | 850 W Baraga Ave, Marquette, MI 49855-4550 |
| Louis A Ostola | Physical Medicine and Rehabilitation | Upper Peninsula Rehabilitation Medicine Associates PC | 850 W Baraga Ave, Suite 30, Marquette, MI 49855-4550 |
| Jonathon Wayne Schwake | Gastroenterology | Dlp Marquette Physician Practices Inc | 850 W Baraga Ave, 32 Up Health System, Marquette, MI 49855-4550 |
| Scott Kantola | Pathology | Medical Laboratories of Marquette PC | 850 W Baraga Ave, Marquette, MI 49855-4550 |
| Michael F Reckker Jr. | Certified Registered Nurse Anesthetist (crna) | Dlp Marquette General Hospital LLC | 850 W Baraga Ave, Marquette, MI 49855-4550 |
| Leah Heron | Emergency Medicine | Dlp Marquette Physician Practices Inc | 850 W Baraga Ave, Up Health System, Marquette, MI 49855-4550 |
| Bonita L Moisio | Nurse Practitioner | Upper Peninsula Rehabilitation Medicine Associates PC | 850 W Baraga Ave, Suite 30, Marquette, MI 49855-4550 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory S Jones | Psychologist, Clinical | 1300 W Ridge St, Suite 2, Marquette, MI 49855-2142 | |
| Brian John Kulbieda | Chiropractic | 1300 W Ridge St, Suite 1, Marquette, MI 49855-2142 | |
| Mark W Olson | Family Medicine | Superior Walk-in Center, PC | 2382 Us Hwy 41 W, Marquette, MI 49855-2456 |
| Kellie E Shipkey | Nurse Practitioner | Superior Walk-in Center, PC | 2382 Us Hwy 41 W, Marquette, MI 49855-2456 |
| Kurt R Olson | Family Medicine | Superior Walk-in Center, PC | 2382 Us Hwy 41 W, Marquette, MI 49855-2456 |
| Kristen Ann Deprey | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Kristin Diane Wodzinski Andreae | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Kyle M Aho | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Lisa M Labar | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Anna Tippen Howes | Physical Therapy | Marquette Rehabilitation and Sports Medicine Center | 1455 W Fair Ave, Marquette, MI 49855-2654 |
| Find all physicians in zip 49855 | |||
| City | MARQUETTE |
| Zip Code | 49855 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | MARQUETTE + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on John R Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.