Search › Michigan › 103TC0700X
Michael Wallace, MA
NPI 1003116658 · on the registry since 2010 · sole proprietor
Practice
- Address
- 201 E Liberty St
Suite 2
Ann Arbor, MI 48104 - Phone
- (734) 330-3580
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-29
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 Michigan