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

KIMBERLY WALLACE MD PC

Active Organization

KIMBERLY WALLACE MD PC is a Medical Specialty Clinic organization located in OAK PARK, Michigan. NPI 1497397202 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · OAK PARK, MI

Registration Details

NPI Number
1497397202
Provider Type
Organization
NPI Issued
Oct 14, 2019 (6.8769320821783 yrs)
Last Updated
Nov 13, 2019

Practice Information

Address
12900 W 9 MILE ROAD
OAK PARK, MI, 48237
Browse MI providers · Browse ZIP 48237
Phone
2485479292
Primary Specialty
Medical Specialty Clinic
261QM2500X

Other Medical Specialty Clinic Organizations in OAK PARK, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.