Individual provider · Type 1 NPI

Jeffrey David Wallace, DC

Chiropractor · Grand Ledge, MI

NPI number 1679563928 Active

Practice location

820 Charlevoix Dr, Suite 210
Grand Ledge, MI 48837-8188

Call (517) 622-2273 Map

Fax (517) 622-2223

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2301008560 (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

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About NPI 1679563928

Jeffrey David Wallace, DC's National Provider Identifier is 1679563928, issued on Oct 27, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grand Ledge, MI. The record was last updated on Jul 8, 2007.