Search › Ohio › 207VF0040X
Shannon Wallace, M.D
NPI 1205102092 · on the registry since 2012
Practice
- Address
- Cleveland Clinic 9500 Euclid Avenue
Cleveland, OH 44195 - Phone
- (216) 636-8926
- Clinicians at this address
- 59
Additional practice sites
- 300 Pasteur Dr # S285, Stanford, CA
Registry record
- Primary taxonomy
- 207VF0040X
207VF0040X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio