Organization · Type 2 NPI
Kimberly Wallace MD PC
Medical Specialty Clinic/Center · Oak Park, MI
Practice location
12900 W 9 Mile Road
Oak Park, MI 48237
Mailing address
P.o. Box 700263
Plymouth, MI 48170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Other medical specialty clinic/center providers in Oak Park
About NPI 1497397202
Kimberly Wallace MD PC's National Provider Identifier is 1497397202, issued on Oct 14, 2019. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Oak Park, MI. The record was last updated on Nov 13, 2019.