Individual provider · Type 1 NPI

John David Wallace, PA-C

Physician Assistant · East Jordan, MI

NPI number 1487909511 Active

Practice location

601 Bridge St
East Jordan, MI 49727-9383

Call (231) 536-2206 Map

Fax (231) 536-7150

Other practice locations

  • 6135 Cressy St, Indian River, MI 49749-5151 · (231) 238-8908

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601006422 (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…

24 other providers at this address

About NPI 1487909511

John David Wallace, PA-C's National Provider Identifier is 1487909511, issued on Jul 15, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in East Jordan, MI. The record was last updated on Sep 20, 2022.