IndividualActive
Adam Wallace, MD
NPI 1386969079 · Neurology with Special Qualifications in Child Neurology Physician · Rochester, MN
Provider details
- NPI number
- 1386969079
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036145300 (IL)
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Registry dates
- Enumerated
- 2010-04-06
- Last updated
- 2026-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.