Individual provider · Type 1 NPI

Laurie Wallace, DO

Emergency Medical Services (Emergency Medicine) Physician · Farmington Hills, MI

NPI number 1699716613 Active

Practice location

28050 Grand River Ave, Er Department
Farmington Hills, MI 48336-5919

Call (248) 471-8000 Map

Mailing address

PO Box 634087
Cincinnati, OH 45263-0001

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XLW010385 (MI)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1699716613

Laurie Wallace, DO's National Provider Identifier is 1699716613, issued on Jun 9, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Farmington Hills, MI. The record was last updated on Nov 28, 2016.