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Robert Wallace, MD — NPI 1023075637, Memphis, TN | NPI Central

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NPI 1023075637

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Robert Wallace, MD

NPI 1023075637 · Plastic and Reconstructive Surgery Physician · Memphis, TN

Provider details

NPI number: 1023075637
Entity type: Individual
Primary specialty: Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 27658 (TN)

Specialties & taxonomies

Plastic and Reconstructive Surgery PhysicianPrimary2086S0122XLicense 27658 (TN)
Allopathic & Osteopathic Physicians

Practice location

1068 Cresthaven Rd Ste 500

Memphis, TN 38119

Phone: (901) 866-8525

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

1407 Union Ave Ste 700

Memphis, TN 38104-3641

Additional practice locations (1)

1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113
Phone: (901) 448-2300
Fax: (901) 448-6657

Registry dates

Enumerated: 2006-04-27
Last updated: 2019-02-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.