Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DANIEL LELAND WALLACE, DO
ActiveDR. DANIEL LELAND WALLACE, DO is a Family Medicine healthcare provider located in GRAND RAPIDS, Michigan. NPI 1275525875 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1275525875
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2005 (21.010642523798 yrs)
- Last Updated
- Jan 22, 2025
- License
-
5101011648 (MI)
Practice Information
- Address
-
275 MICHIGAN ST NEGRAND RAPIDS, MI, 495032531Browse MI providers · Browse ZIP 49503
- Phone
- 6162670800
- Fax
- 6162670801
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| LEE P. BEGROW | DO | 1528062155 |
| DAVID FRANCIS LIEUWEN | M.D. | 1043214414 |
| DR. MATTHEW JAMES BOUTELL | MD | 1043210818 |
| DR. JAMES THOMAS KERBY | MD | 1649270935 |
| TAMMY BORN HUIZENGA | D.O. | 1003816224 |
| WILLIAM H DUKES | MD | 1154322113 |
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.