Timothy Thomas Wallace JR. RN

NPI 1003072414 - Registered Nurse - 163WP0808X

NPI Details
NPI 1003072414
Gender Male
Enumeration Date 08/05/2008
Last Updated 08/05/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
10000 BRECKSVILLE RD
BRECKSVILLE OH, 44141-3204, US
Phone (440) 526-3030
Fax
Business Location
10000 BRECKSVILLE RD
BRECKSVILLE OH, 44141-3204, US
Phone (440) 526-3030
Fax
Toxanomy
Taxonomy Code 163WP0808X
License State Ohio
License Number RN295020
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According to our database, Mr. Timothy Thomas Wallace JR. RN NPI is 1003072414, taxonomy code is 163WP0808X and license number is RN295020, license state is located at Ohio. Timothy Thomas Wallace JR. RN physically located at 10000 Brecksville Rd, Brecksville OH, 44141-3204. NPI Number Timothy Thomas Wallace JR. RN has the Individual type.

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1003072414 NPI number is provided on an as is basis without warranty of any kind. 1003072414 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Thomas Wallace JR. RN are for informational purposes only.