Michael L Wallace (NPI# 1467438937, PAC ID# 9032235460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1467438937 |
| PAC ID by PECOS | 9032235460 |
| Professional Enrollment ID | I20100923000137 |
| Full Name | Michael L Wallace |
| Organization Legal Name | VALLEY DERMATOPATHOLOGY, LLC |
| Address |
419 Walnut St Sewickley PA 15143-1535 |
| Phone Number | 4127419741 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | PATHOLOGY |
| Secondary Specialties | DERMATOLOGY |
| Group Practice PAC ID | 8820980436 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 419 Walnut St, Sewickley, PA 15143-1535 | 4127419741 | VALLEY DERMATOPATHOLOGY, LLC |
| Organization Legal Name | VALLEY DERMATOPATHOLOGY, LLC |
| Physicians | 1 |
| Street Address |
419 WALNUT ST |
| City | SEWICKLEY |
| State | PA |
| Zip | 15143-1535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne M Young | Internal Medicine | 465 Leet Rd, Sewickley, PA 15143-1019 | |
| Eric J Day | Chiropractic | 201 Ohio River Blvd, Sewickley, PA 15143-1181 | |
| Howard Francis Irwin | Clinical Social Worker | Samaritan Counseling Center of Western Pa | 202 Beaver St, Fl 3, Sewickley, PA 15143-1221 |
| Sarah E Cahill | Nurse Practitioner | Heritage Valley Multispecialty Group Inc | 100 Hazel Ln, Sewickley, PA 15143-1249 |
| Danielle R Schnauber | Nurse Practitioner | Heritage Valley Multispecialty Group Inc | 100 Hazel Ln, Sewickley, PA 15143-1249 |
| Alicia F Abate | Nurse Practitioner | Heritage Valley Multispecialty Group Inc | 100 Hazel Ln, Sewickley, PA 15143-1249 |
| Sarah J Polantz | Nurse Practitioner | Heritage Valley Multispecialty Group Inc | 100 Hazel Ln, Sewickley, PA 15143-1249 |
| Geoffrey H Wilcox | General Surgery | Surgical Associates of Sewickley | 111 Hazel Ln, Suite 100, Sewickley, PA 15143-1253 |
| Rebecca Lynn Hartjen | Clinical Social Worker | Valley Medical Facilities Inc | 111 Hazel Ln, Suite 300, Sewickley, PA 15143-1253 |
| Jamie L Dunn | Physician Assistant | Surgical Associates of Sewickley | 111 Hazel Ln, Suite 100, Sewickley, PA 15143-1253 |
| Find all physicians in zip 15143 | |||
| City | SEWICKLEY |
| Zip Code | 15143 |
| Specialty | PATHOLOGY |
| City + Specialty | SEWICKLEY + PATHOLOGY |
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| 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.