Furman T Wallace, M.D. Valid NPI

Individual provider · Psychiatry Physician · Anderson, IN

NPI

1508925736

Type

Individual (Type 1)

Primary specialty

Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0800X

License number

01029302 (IN)

Sex

Male

Sole proprietor

No

Enumerated

2006-12-06

Last updated

2007-07-08