Search › Maine › 207YX0905X
Mark Wallace, D.O
NPI 1952591828 · on the registry since 2007
Practice
- Address
- 15 Anchor Dr Ste 102
Rockport, ME 04856 - Phone
- (207) 301-3660
- Fax
- (207) 301-5160
- Clinicians at this address
- 30
Additional practice sites
- 116 Northport Ave Ste 118, Belfast, ME
- 333 Magazine St, Sault Sainte Marie, MI
Registry record
- Primary taxonomy
- 207YX0905X
207YX0905X
- Also registered as
- 207YX0905X
207Y00000X - Licence states on file
- MI, ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-29
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 Maine