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

DENNIS LEE WALLACE, P.A.

Active

DENNIS LEE WALLACE, P.A. is a Medical Physician Assistant healthcare provider located in FLINT, Michigan. NPI 1396790986 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · FLINT, MI

Registration Details

NPI Number
1396790986
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2006 (20.186847350579 yrs)
Last Updated
Aug 11, 2010
License
5601002261 (MI)

Practice Information

Address
4100 BEECHER RD
SUITE A
FLINT, MI, 485323661
Browse MI providers · Browse ZIP 48532
Phone
8103423800
Fax
8103423784
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in FLINT, MI

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REBEKAH KAY LANGE PHYSICIAN ASSISTANT 1720192099
DONALD VINCENT DALY JR. PA-C 1447359518
TERESA JO MUSSON PA-C 1063631877
MR. DAVID AULD HOWELL PA-C 1821272840
SHELLY R MARTYNIAKPA P.A. 1558549683
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.