Individual provider · Type 1 NPI
Stacey J. Wallach, MD
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Sacramento, CA
Practice location
4860 Y St, Ob/gyn, Suite 2500, Acc
Sacramento, CA 95817-2307
Fax (916) 734-6666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G68624 (CA) |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary | 207VF0040X | A68624 (CA) |
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…
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About NPI 1891779369
Stacey J. Wallach, MD's National Provider Identifier is 1891779369, issued on Nov 30, 2005. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Sacramento, CA. The record was last updated on Dec 6, 2016.