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Carly Wallace, DO
NPI 1700562766 · on the registry since 2023
Practice
- Address
- 5333 Mcauley Dr Ste R-5003
Ypsilanti, MI 48197 - Phone
- (734) 712-3376
- Fax
- (734) 887-8943
- Organisation at this address
- Donna J Tal Md Pc
Retinal Specialists Pc
Trinity Health-Michigan
St Joseph Mercy Hospital
St Joseph Mercy HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 480
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-15
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