Individual provider · Type 1 NPI

Robert Eric Wallace, APN

Family Nurse Practitioner · Macomb, IL

NPI number 1720007156 Active

Practice location

1 University Cir
Macomb, IL 61455-1367

Fax (309) 298-2188

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1720007156

Robert Eric Wallace, APN's National Provider Identifier is 1720007156, issued on Jul 18, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Macomb, IL. The record was last updated on Jul 8, 2007.