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Physician Profile

Maxwell Wallace, M.D.

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At a glance

About Dr. Wallace

Based in Saint Louis, MO, Maxwell Wallace, M.D. is listed in the NPI registry under child neurology. NPI 1588195267 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Child Neurology (Primary)

Credentials & Licensing

MO licenceAs reported to the NPI registry
No. 2022027207As reported
NPINational Provider Identifier
1588195267Issued 2017

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Maxwell Wallace specialize in?

Maxwell Wallace is a child neurology in Saint Louis, MO. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Maxwell Wallace located?

Maxwell Wallace is listed at 1465 S Grand Blvd Rm 2717, Saint Louis, MO 63104. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Maxwell Wallace's phone number?

The number on file is (314) 577-5634. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Maxwell Wallace?

Maxwell Wallace's National Provider Identifier is 1588195267. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Maxwell Wallace have?

Maxwell Wallace has 9+ years experience. Registered with an NPI since 2017. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Maxwell Wallace's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Maxwell Wallace. If this is you, claiming it is free.

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