Dr. Adam Donald Wallace
Neurologist Child Neurologist
200 1st St Sw
Rochester
, Minnesota 55905
Dr. Adam Donald Wallace
Neurologist Child Neurologist
200 1st St Sw
Rochester
, Minnesota 55905
(608) 829-5485
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About
Features
Specialties
- Neurologist
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Adam Donald Wallace
- 7974 Uw Health Ct
- Middleton, WI
- Zip : 53562-5531
- Phone : (608) 829-5485
Second Address
- Dr. Adam Donald Wallace
- 200 1st St Sw
- Rochester, MN
- Zip : 55905
- Phone : (507) 284-2511
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2084N0400X | Neurologist | 036145300 | IL |
| N | 2084N0400X | Neurologist | 67056-20 | WI |
| N | 2084N0402X | Child Neurologist | 036145300 | IL |
| Y | 2084N0402X | Child Neurologist | 67056-20 | WI |
National Provider Identifier
| NPI | 1386969079 |
|---|---|
| Provider Name | Dr. Adam Donald Wallace |
| First Address | Middleton, WI 53562-5531 |
| Second Address | Rochester, MN 55905 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2010 |
| Last Update Date | 08/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1386969079 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.