Dr DONNETTA L WALLACE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2013.
STELLIS HEALTH, PA
11091 JASON NEAVE
ALBERTVILLE
MN
553014699
Tel: 7636848300
Npi | 1922436914 |
Pac Id | 5799912895 |
Professional Enrollment Id | I20131217001429 |
Last Name | WALLACE |
First Name | DONNETTA |
Middle Name | L |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2013 |
Primary Specialty | NURSE PRACTITIONER |
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Organization Legal Name | STELLIS HEALTH, PA |
Group Practice Pac Id | 1153233796 |
Number Of Group Practice Members | 63 |
Line 1 Street Address | 11091 JASON NEAVE |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | ALBERTVILLE |
State | MN |
Zip Code | 553014699 |
Phone Number | 7636848300 |
Hospital Affiliation Ccn 1 | 240001 |
Hospital Affiliation Lbn 1 | NORTH MEMORIAL MEDICAL CENTER |
Hospital Affiliation Ccn 2 | 241362 |
Hospital Affiliation Lbn 2 | CENTRACARE HEALTH - MONTICELLO |
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Professional Accepts Medicare Assignment | Y |
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