MEDICARE: MATTHEW K WALLACE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	47815	MN
2	207X00000X	Orthopaedic Surgery Physician	MD60144423	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356329114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW K WALLACE M.D.

Provider Business Mailing Address
First Line	:	601 W 5TH AVE STE 400
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99204-2715
Country	:	US
Telephone Number	:	509-344-2663
Fax Number	:	509-624-9179

Provider Business Practice Location Address
First Line	:	212 E CENTRAL AVE STE 140
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-6289
Country	:	US
Telephone Number	:	509-465-1300
Fax Number	:	509-465-1313

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	12/12/2024

Similar Medicare Providers

1720361405 — TIMOTHY BRYAN PEKARI DSC-PA
Practice Location Address:

212 E CENTRAL AVE STE 140
SPOKANE, WA
99208-6289

Practice Phone: 509-465-1300
Practice Fax:

1356337935 — DR. CATHERINE M TSAI MD
Practice Location Address:

212 E CENTRAL AVE STE 245
SPOKANE, WA
99208-6289

Practice Phone: 509-489-2600
Practice Fax:

1902872161 — PAUL C HORN M.D.
Practice Location Address:

212 E CENTRAL AVE , STE 140
SPOKANE, WA
99208-6289

Practice Phone: 509-465-1300
Practice Fax: 509-465-1313

1639146285 — BRIAN J PADRTA M.D.
Practice Location Address:

212 E CENTRAL AVE , STE 140
SPOKANE, WA
99208-6289

Practice Phone: 509-465-1300
Practice Fax: 509-465-1313

1063481620 — TODD A OSTLIE PA-C
Practice Location Address:

212 E CENTRAL AVE , STE 140
SPOKANE, WA
99208-6289

Practice Phone: 509-465-1300
Practice Fax: 509-465-1313

1801849153 — DR. ERIC D STUCKY MD
Practice Location Address:

212 E CENTRAL AVE , SUITE 240
SPOKANE, WA
99208-6289

Practice Phone: 509-489-7504
Practice Fax: 509-482-9011

Directions to “ MATTHEW K WALLACE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.