Dr. Maegen J Wallace
Pediatric Orthopaedic Surgeon
Emile 42nd St
Omaha
, Nebraska 68198-0001
Dr. Maegen J Wallace
Pediatric Orthopaedic Surgeon
Emile 42nd St
Omaha
, Nebraska 68198-0001
(402) 955-8140
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Maegen J Wallace
- Emile 42nd St
- Omaha, NE
- Zip : 68198-0001
- Fax : (402) 955-8140
- Phone : (402) 955-8125
Second Address
- Dr. Maegen J Wallace
- Emile 42nd St
- Omaha, NE
- Zip : 68198-0001
- Fax : (402) 955-8140
- Phone : (402) 955-8125
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 28403 | NE |
National Provider Identifier
| NPI | 1235393836 |
|---|---|
| Provider Name | Dr. Maegen J Wallace |
| First Address | Omaha, NE 68198-0001 |
| Second Address | Omaha, NE 68198-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2008 |
| Last Update Date | 10/07/2015 |
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.