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Michael Wallace, MD
NPI 1932192556 · on the registry since 2005
Practice
- Address
- 7685 Winchester Rd
Memphis, TN 38125 - Phone
- (901) 752-6963
- Fax
- (901) 751-5540
- Organisation at this address
- The Family Physician Group Pc
Bmg Family Physicians Group Foundation, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-25
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 Tennessee