DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMY BLAISING WALLACE, D.O.

Active

AMY BLAISING WALLACE, D.O. is a Family Medicine healthcare provider located in EATON RAPIDS, Michigan. NPI 1356380950 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · EATON RAPIDS, MI

Registration Details

NPI Number
1356380950
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2006 (20.044711882799 yrs)
Last Updated
Dec 17, 2018
License
5101013086 (MI)

Practice Information

Address
1415 S MAIN ST
EATON RAPIDS, MI, 488271959
Browse MI providers · Browse ZIP 48827
Phone
5176634809
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in EATON RAPIDS, MI

Name Credential NPI
DR. THOMAS ALAN KELLY D.O. 1629033444
DR. JONATHAN PAUL WULFF DO 1417913104
DR. PAUL D HANKENSON D.O. 1366558801
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.