Individual provider · Type 1 NPI
Mark Allen Wallace, DO
Otolaryngology/Facial Plastic Surgery Physician · Rockport, ME
NPI number
1952591828
Active
Practice location
15 Anchor Dr Ste 102
Rockport, ME 04856-3847
Fax (207) 301-5160
Other practice locations
- 116 Northport Ave Ste 118, Belfast, ME 04915-6096 · (207) 505-4367
- 333 Magazine St, Suite 101, Sault Sainte Marie, MI 49783-1867 · (906) 259-0244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 5101015234 (MI) |
| Otolaryngology Physician | 207Y00000X | DO3910 (ME) |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | DO3910 (ME) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
2 other providers at this address
About NPI 1952591828
Mark Allen Wallace, DO's National Provider Identifier is 1952591828, issued on Jul 27, 2007. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Rockport, ME. The record was last updated on Jan 29, 2026.