Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas Charles Wallace, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1851470033

Dr. Douglas Charles Wallace, MD is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lafayette, Indiana. Licensed in California, Illinois and Indiana. Registered with an NPI since 2006.

Licensed in
CA, IL, IN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3900 St Francis Way Ste 201
Lafayette, IN 47905-4923
Phone: (765) 446-7981
Fax: (765) 446-7982
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 01071946A (IN)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence G66727 (CA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 036-101410 (IL)

Record details

NPI number1851470033
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESDecember 19, 2012

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