SearchMaryland101YM0800X

Calvin Wallace

NPI 1316810385 · on the registry since 2025 · sole proprietor

Practice

Address
6500 Lake Park Dr Apt 103
Greenbelt, MD 20770
Phone
(240) 535-3066
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-25

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 Maryland