Individual
EMILY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1320 W STATE ST STE 3A, BELDING, MI 48809-9245
(616) 794-1810
Mailing address
1320 W STATE ST STE 3A, BELDING, MI 48809-9245
(616) 794-1810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
03/13/2024
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