Daniel Leland Wallace in Grand Rapids - Family Medicine
Daniel Leland Wallace - NPI 1275525875
Daniel Leland Wallace is a Family Medicine in Grand Rapids, Michigan. Daniel Leland Wallace practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Daniel Leland Wallace is 1275525875. The last update date is 2021-02-19.
Daniel Leland Wallace's current location address is 100 Michigan St Ne # Mc-845, Grand Rapids, Michigan. You can contact this provider via phone number 6162670800 and fax number 6162670801. The mailing address for Daniel Leland Wallace is 100 Michigan St Ne # Mc-845, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Leland Wallace |
|---|---|
| Address | 100 Michigan St Ne # Mc-845, Grand Rapids, Michigan |
| Phone Number | 6162670800 |
| Fax Number | 6162670801 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1275525875 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2021-02-19 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne # Mc-845 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6162670800 |
| Fax Number | 6162670801 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101011648 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Daniel Leland Wallace's unique identification number?
The Daniel Leland Wallace has been assigned the NPI (National Provider Identifier) Number 1275525875 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Daniel Leland Wallace?
The Daniel Leland Wallace is situated at 100 Michigan St Ne # Mc-845, in the city of Grand Rapids, state of MI, with the zip code 495032560.
What is Daniel Leland Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Daniel Leland Wallace is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
When was the Daniel Leland Wallace's 1275525875 issued?
The Daniel Leland Wallace's 1275525875 was issued on 2005-08-19.
As of what date were the details pertaining to Daniel Leland Wallace last refreshed?
The information related to the Daniel Leland Wallace, including its address, specialty, and other relevant details, was last updated on 2021-02-19.
NPI Number: 1225033541
Address: 261 Old York Rd, Jenkintown, PA