Search › Ohio › 3747P1801X
Summer Wallace
NPI 1629956396 · on the registry since 2025
Practice
- Address
- 544 W Fork Rd
Stout, OH 45684 - Phone
- (937) 421-5881
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Sex
- Male
- Record last updated
- 2025-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio