Individual provider · Type 1 NPI

Dennis Lee Wallace, P.A.

Medical Physician Assistant · Flint, MI

NPI number 1396790986 Active

Practice location

4100 Beecher Rd, Suite A
Flint, MI 48532-3661

Call (810) 342-3800 Map

Fax (810) 342-3784

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601002261 (MI)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1396790986

Dennis Lee Wallace, P.A.'s National Provider Identifier is 1396790986, issued on May 23, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Flint, MI. The record was last updated on Aug 11, 2010.