John Isackson Wallace
John Isackson Wallace is a Case Manager/Care Coordinator in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2026.
- Licensed in
- MT
- In the registry since
- 2026
Practice location Address checks out
913 SW Higgins Ave Ste 201Missoula, MT 59803-1423
Phone: (406) 396-3887
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (MT) |
|---|
Record details
| NPI number | 1316861255 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 5, 2026 |
| Last updated in NPPES | August 5, 2026 |
| Certification date | August 5, 2026 |
| Mailing address | 913 Sw Higgins Ave Ste 201, Missoula, MT 59803-1423 |
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