Search › California › 101YA0400X
Michael Wallace
NPI 1225579899 · on the registry since 2017 · sole proprietor
Practice
- Address
- 500 Allerton St
Second Floor
Redwood City, CA 94063 - Phone
- (650) 599-9955
- Organisation at this address
- El Centro De Libertad/The Freedom Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 53
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Male
- Record last updated
- 2017-03-16
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 California