Individual provider · Type 1 NPI

Bonnie Merritt Wallace, PA-C

Physician Assistant · Portage, MI

NPI number 1437402229 Active

Practice location

3304 Cooley Ct
Portage, MI 49024-7430

Call (269) 349-2266 Map

Fax (269) 349-0792

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601006513 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

22 other providers at this address

Other physician assistant providers in Portage

See all in Portage →

About NPI 1437402229

Bonnie Merritt Wallace, PA-C's National Provider Identifier is 1437402229, issued on Oct 18, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portage, MI. The record was last updated on Oct 12, 2014.