Individual provider · Type 1 NPI

John R. Wallace, DC

Chiropractor · Muskegon, MI

NPI number 1205835154 Active

About NPI 1205835154

John R. Wallace, DC's National Provider Identifier is 1205835154, issued on Jul 21, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Muskegon, MI. The record was last updated on Nov 29, 2011.