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Mikayla Wallace
NPI 1679369862 · on the registry since 2025
Practice
- Address
- 9905 Fall Creek Rd
Indianapolis, IN 46256 - Phone
- (317) 813-4690
- Clinicians at this address
- 122
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2025-04-16
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 Indiana