Search › Michigan › 163W00000X
Jessica Wallace
NPI 1841117066 · on the registry since 2026
Practice
- Address
- 610 W 2nd St
Davison, MI 48423 - Phone
- (810) 835-3731
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-30
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