Susanne R Wallace
Susanne R Wallace is a Specialist in Great Barrington, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.
- Licensed in
- MA
- In the registry since
- 2011
Practice location Address checks out
442 Stockbridge RdGreat Barrington, MA 01230
Phone: (413) 644-0104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 2083442 (MA) |
|---|
Record details
| NPI number | 1881992063 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 11, 2011 |
| Last updated in NPPES | March 11, 2011 |
| Mailing address | 442 Stockbridge Road, Great Barrington, MA 01230 |