Search › Minnesota › 101YM0800X
Patrick Wallace
NPI 1811853112 · on the registry since 2025
Practice
- Address
- 13603 80th Cir N
Maple Grove, MN 55369 - Phone
- (763) 274-3120
- Fax
- (763) 274-3121
- Clinicians at this address
- 66
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-30
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 Minnesota