Organization · Type 2 NPI

Gary S Wallach DPM PA

Foot Surgery Podiatrist · Fort Lauderdale, FL

NPI number 1013020924 Active

Practice location

2737 E Oakland Park Blvd
Fort Lauderdale, FL 33306-1641

Fax (954) 566-3051

Specialties and licenses

TaxonomyCodeLicense
Foot Surgery Podiatrist Primary 213ES0131XNone listed

Foot Surgery Podiatrist: Definition to come...

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About NPI 1013020924

Gary S Wallach DPM PA's National Provider Identifier is 1013020924, issued on Aug 16, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 16, 2013.