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Madison Wallace
NPI 1972953172 · on the registry since 2016 · sole proprietor
Practice
- Address
- 6977 Scioto Chase Blvd
Powell, OH 43065 - Phone
- (715) 347-2419
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 172V00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-01
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