Individual provider · Type 1 NPI

Weldon Wallace, MD

Family Medicine Physician · Grand Rapids, MI

NPI number 1679550875 Active

Practice location

1260 Ekhart St NE
Grand Rapids, MI 49503-1372

Call (616) 356-5202 Map

Fax (616) 458-9845

Mailing address

1260 Ekhart St NE # 112
Grand Rapids, MI 49503-1380

Other practice locations

  • PO Box 740013, Atlanta, GA 30374-0013 · (833) 804-1695

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X4301085136 (MI)
Family Medicine Physician 207Q00000X97022 (SC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

56 other providers at this address

Other family medicine physician providers in Grand Rapids

See all in Grand Rapids →

About NPI 1679550875

Weldon Wallace, MD's National Provider Identifier is 1679550875, issued on Dec 28, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 10, 2026.