Individual provider · Type 1 NPI
Douglas Charles Wallace, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Lafayette, IN
Practice location
3900 St Francis Way, Ste 201
Lafayette, IN 47905-4923
Fax (765) 446-7982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | G66727 (CA) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036-101410 (IL) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary | 208G00000X | 01071946A (IN) |
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…
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About NPI 1851470033
Douglas Charles Wallace, MD's National Provider Identifier is 1851470033, issued on Nov 6, 2006. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Lafayette, IN. The record was last updated on Dec 19, 2012.