Search › Michigan › 1041C0700X
Jamie Wallace
NPI 1639527567 · on the registry since 2016
Practice
- Address
- 6823 Main St
Cass City, MI 48726 - Phone
- (989) 325-2600
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 247200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-26
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