Dr. Robert William Wallace II
Dr. Robert William Wallace II is an Internal Medicine in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 2017, 9 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 9
- Trained at
- Louisiana State University School of Medicine in New Orleans
- Licensed in
- LA
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
Baton Rouge, LAFax: (225) 765-4046
No coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 204 N Silver Maple Dr, Slidell, LA 70458-5483 — (504) 554-2131
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 326195 (LA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1801337134 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 20, 2017 |
| Last updated in NPPES | April 19, 2021 |
| Certification date | April 19, 2021 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduated | 2017 (9 years in practice) |
| Group practice | Our Lady Of The Lake Physician Group Llc — 635 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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