IndividualActive
Sean Wallace, M.D.
NPI 1962813949 · Plastic Surgery Physician · Washington, DC
Provider details
- NPI number
- 1962813949
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD210011695 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2300 M St Nw
Washington, DC 20037-1434
Phone: (202) 741-3240
Fax: (202) 741-2594
Approximate (ZIP-level) locationGet directions
Mailing address
2300 M St Nw
Washington, DC 20037-1434
Registry dates
- Enumerated
- 2014-05-13
- Last updated
- 2023-06-09
- Certified
- 2023-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.