← CMS Doctors and Clinicians
DIANE S WALLACE, MD
EMERGENCY MEDICINE · LA PORTE, IN
Provider
- NPI
1194764647- Credential
- MD
- Primary specialty
- EMERGENCY MEDICINE
- Gender
- Female
- Medical school
- UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
- Graduation year
- 1995
Practice
- Address
- 1010 W STATE RD, LA PORTE, IN 463505465
- Phone
- 2195756700
- Accepts Medicare
- Yes (individual)
- Telehealth
- No
Source
- Authoritative
- NPI Registry
- Machine
- JSON-LD · Markdown