Search › Wisconsin › 163W00000X
Jamie Wallace
NPI 1881159242 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1648 Erin Hl
Stoughton, WI 53589 - Phone
- (608) 205-6288
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-09
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 Wisconsin