Individual provider · Type 1 NPI

Shane Edward Wallace, DC

Chiropractor · Brooklyn, MI

NPI number 1639753239 Active

Practice location

9909 Wamplers Lake Rd
Brooklyn, MI 49230-9503

Call (517) 592-8208 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2301011096 (MI)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2 other providers at this address

Other chiropractor providers in Brooklyn

See all in Brooklyn →

About NPI 1639753239

Shane Edward Wallace, DC's National Provider Identifier is 1639753239, issued on May 10, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brooklyn, MI. The record was last updated on May 10, 2021.