Individual provider · Type 1 NPI

Thomas M. Wallace, MD

Critical Care Medicine (Internal Medicine) Physician · Modesto, CA

NPI number 1679641666 Active

Practice location

1441 Florida Ave
Modesto, CA 95350-4405

Call (209) 576-3525 Map

Fax (209) 576-3544

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200XG42269 (CA)

Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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About NPI 1679641666

Thomas M. Wallace, MD's National Provider Identifier is 1679641666, issued on Nov 30, 2006. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.