Search › Michigan › 111N00000X
Shane Wallace, DC
NPI 1639753239 · on the registry since 2021
Practice
- Address
- 9909 Wamplers Lake Rd
Brooklyn, MI 49230 - Phone
- (517) 592-8208
- Organisation at this address
- Plentz Chiropractic Clinic Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-10
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