Search › Michigan › 163WL0100X
Leontine Wallace, RN, BSN
NPI 1053800649 · on the registry since 2018
Practice
- Address
- 2300 Haggerty Rd Ste 2110
West Bloomfield, MI 48323 - Phone
- (248) 926-1420
- Fax
- (248) 926-5338
- Organisation at this address
- Abaris Health
Feet First P C
Lkes Urgent Care
Bluemed Care Pllc
Shiva Hogugi PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 97
Registry record
- Primary taxonomy
- 163WL0100X
163WL0100X
- Also registered as
- 163WP0200X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-09
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