Individual
HAYLEY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 E MAIN ST, MILAN, MI 48160-1247
(734) 439-3900
Mailing address
9953 STONE RD, MAYBEE, MI 48159-9761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302417313
MI
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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