Department of Safety and Professional Services
Board of Medical Practice
Matthew Kyle Wallace
Medical - Physician And Surgeon
License number
47815
Date granted
07/09/2005
Date expires
09/30/2009
Class
Medical - Physician And Surgeon
Status
Active
Address
333 S. Pine Street, Spartanburg, SC 29302
doctorsminnesota.org
ID 22326780
LAST UPDATED 2026-04-06 07:17:40 UTC
LAST UPDATED 2026-04-06 07:17:40 UTC
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