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

Peter Allan Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952156242

Peter Allan Wallace is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

420 Delaware St SE Mmc 195
Minneapolis, MN 55455
Phone: (612) 625-6483
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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 number1952156242
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 21, 2024
Certification dateApril 21, 2024
Mailing address420 Delaware St Se, Mmc 195, Minneapolis, MN 55455

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