Search › Michigan › 207X00000X
Nicholas Wallace, M.D
NPI 1780033928 · on the registry since 2016
Practice
- Address
- 3016 Barclay Way
Ann Arbor, MI 48105 - Phone
- (616) 309-3319
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 207X00000X
- Licence states on file
- MI, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-19
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