Diane E Wallace, MD
Diane E Wallace, MD is an Emergency Medicine in Warsaw, Indiana. Graduated from University of Vermont College of Medicine in 1995, 31 years ago. Practices with Clarksville Emergency Group PC, a 152-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 31
- Trained at
- University of Vermont College of Medicine
- Licensed in
- IN
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1355 Mariners DrWarsaw, IN 46582-7145
Phone: (574) 372-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 01061919A (IN) |
|---|
Record details
| NPI number | 1194764647 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 6, 2006 |
| Last updated in NPPES | March 10, 2022 |
| Certification date | March 10, 2022 |
| Mailing address | 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduated | 1995 (31 years in practice) |
| Group practice | Clarksville Emergency Group Pc — 152 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Warsaw
-
Mahamad Besher Ahdab, MD
1355 Mariners Dr, Warsaw, IN 46582-7145 · (586) 263-2950
-
Nicholas L Finley, MD
2235 Dubois Dr, Warsaw, IN 46580-3212 · (574) 267-8189
-
Medstat LLC
1500 Provident Dr Ste A, Warsaw, IN 46580-3291 · (574) 372-7637
-
Warsaw Health System, LLC
1205 Provident Dr Ste A, Warsaw, IN 46580-3265 · (574) 372-5823