Dr John G Wallace, MD | |
17515 N Park Pl N, Shoreline, WA 98133-4803 | |
(206) 533-2158 | |
(206) 533-2158 |
Full Name | Dr John G Wallace |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 17515 N Park Pl N, Shoreline, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346379161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 00008964 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr John G Wallace, MD 17515 N Park Pl N, Shoreline, WA 98133-4803 Ph: (206) 533-2158 | Dr John G Wallace, MD 17515 N Park Pl N, Shoreline, WA 98133-4803 Ph: (206) 533-2158 |
Christine Suydam, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1201 N 175th St, Shoreline, WA 98133 Phone: 206-401-3175 Fax: 206-401-3201 | |
Aubrey Elizabeth Klaich, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1201 N 175th St, Shoreline, WA 98133 Phone: 206-401-3175 Fax: 206-401-3201 |