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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295399236

Dr. Wallace Wilson, MD is a Student in an Organized Health Care Education/Training Program in Cincinnati, Ohio. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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

234 Goodman St
Cincinnati, OH 45219-2364
Phone: (513) 558-7043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1295399236
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2019
Last updated in NPPESApril 25, 2019
Mailing address234 Goodman St, Cincinnati, OH 45219-2364

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