Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE GLENN JAMISON, MD
ActiveWALLACE GLENN JAMISON, MD is a Psychiatry healthcare provider located in ALLEGAN, Michigan. NPI 1215943279 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · ALLEGAN, MI
Registration Details
- NPI Number
- 1215943279
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.072594459929 yrs)
- Last Updated
- Mar 22, 2023
- Licenses
-
234609 (NY)4301508760 (MI)
Practice Information
- Address
-
3285 122ND AVEALLEGAN, MI, 490109511Browse MI providers · Browse ZIP 49010
- Phone
- 2696736617
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in ALLEGAN, MI
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL FUSILLO | MD | 1689693020 |
| DR. CHERRI M MINER | — | 1366159469 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.