Individual
MALLORY NICOLE WALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
26300 WOODWARD AVE, ROYAL OAK, MI 48067-0917
(248) 546-2110
Mailing address
1637 HUFFMAN BLVD, FORT WAYNE, IN 46808-2203
(269) 207-9090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08002702A
IN
111N00000X
Chiropractor
Primary
2301010995
MI
Other
Enumeration date
02/27/2013
Last updated
08/27/2021
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