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DANE WALLACE, NURSE PRACTITIONER
NURSE PRACTITIONER
NPI: 1528787744IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
209.025563(IL)2023036829(MO)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 529 HILLSBORO AVE
EDWARDSVILLE, IL 62025 - Phone
- (217) 621-8675
Quick Facts
- NPI
- 1528787744
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 4
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