Donald R. Wallace, MD
Donald R. Wallace, MD is an Emergency Medicine Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- 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
5114 N Glen Park Place RdPeoria, IL 61614-4686
Phone: (309) 683-6600
Show map & directions
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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 036-077680 (IL) |
|---|
Record details
| NPI number | 1700899788 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 14, 2006 |
| Last updated in NPPES | July 29, 2010 |
| Mailing address | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 |
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