Miata Wallace

PHYSICIAN ASSISTANT

1500 S 48th St

Lincoln, NE 685061200

4024838600401

**NPI:** 1013656990

**Med School:** OTHER

**Experience:** 3 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (3)

NEBRASKA PULMONARY SPECIALTIES LLC

1500 S 48th St
Lincoln, NE 685061200

Phone: 4024838600401

**Group ID:** 3072412881 | **Group Size:** 28 members

NEBRASKA PULMONARY SPECIALTIES LLC

1600 S 48th St, Suite 300
Lincoln, NE 685061200

Phone: (402) 483-3333

**Group ID:** 3072412881 | **Group Size:** 28 members

NEBRASKA PULMONARY SPECIALTIES LLC

5401 S St
Lincoln, NE 685062150

Phone: (402) 413-3000

**Group ID:** 3072412881 | **Group Size:** 28 members

BRYAN MEDICAL CENTER Type: Hospital
1600 SOUTH 48TH ST
Phone: (402) 481-1111
Medicare CCN: 280003 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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