Dr. Maxwell Wallace is a Saint Louis, Missouri based neurologist who is specialized in Child Neurology. Active license number of Dr. Maxwell Wallace is 2022027207 for Child Neurology in Missouri. His current practice location is 1465 S Grand Blvd, Rm 2717, Saint Louis. Patients can reach him at 314-577-5634 or can fax him at 314-577-5616. Dr. Maxwell Wallace is M.D. in Child Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1588195267. Dr. Maxwell Wallace specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Complete Profile:
Dr. Maxwell Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Maxwell Wallace
Specialization:
Child Neurology
Gender:
Male
Credentials:
M.D.
Practice Address:
1465 S Grand Blvd, Rm 2717, Saint Louis, Missouri, 63104-1003
Phone:
314-577-5634
Fax:
314-577-5616
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1588195267
NPI Enumeration Date:
23 Mar, 2017
NPI Last Update On:
22 Aug, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Maxwell Wallace are as mentioned below.
License Number
Specialization
State
Status
2022027207
Child Neurology
Missouri
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Maxwell Wallace 1465 S Grand Blvd, Rm 2717 Saint Louis, Missouri
Zip:
63104-1003
Phone Number:
314-577-5634
Fax Number:
314-577-5616
Patients can reach Dr. Maxwell Wallace at 1465 S Grand Blvd, Rm 2717, Saint Louis, Missouri or can call to book an appointment on 314-577-5634.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.