National Provider Identifier Database

MATTHEW M WALLACE, MD – NPI #1255867784
MOHS-Micrographic Surgery

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.


Contact Information

MATTHEW M WALLACE, MD
3829 GASKINS RD STE A
RICHMOND, VA23233-1437
Phone: 804-282-8510
Fax:
Website:
Specialty Taxonomy Code
* MOHS-Micrographic Surgery 207ND0101X

* Indicates primary specialty

NPI Profile & details for MATTHEW M WALLACE

NPI Number 1255867784
Credentials MD
Entity Individual
Enumeration date 05/03/2017
Last updated 09/24/2025 - About 8 months ago
Sole proprietor1 No
Identifiers
  • VA License #: 0101274476
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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