Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY DAVID WALLACE, D.C.
Active Sole ProprietorDR. JEFFREY DAVID WALLACE, D.C. is a Chiropractor healthcare provider located in GRAND LEDGE, Michigan. NPI 1679563928 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · GRAND LEDGE, MI
Registration Details
- NPI Number
- 1679563928
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2005 (20.784056432203 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2301008560 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
820 CHARLEVOIX DRSUITE 210GRAND LEDGE, MI, 488378188Browse MI providers · Browse ZIP 48837
- Phone
- 5176222273
- Fax
- 5176222223
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in GRAND LEDGE, MI
| Name | Credential | NPI |
|---|---|---|
| CHAD LAKE | D.C. | 1508859877 |
| DR. RAYMOND LEONARD LANJOPOULOS | D.C. | 1265411698 |
| DR. CHARMAINE LANJOPOULOS | D.C. | 1215916648 |
| ROBERT JOHN LEINDECKER | DC | 1922063809 |
| ETHAN H CHILDS | DC | 1164525747 |
| DR. ANDREA LYNN HERRST | DC | 1205005865 |
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.