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

LAURIE WALLACE, DO

Active

LAURIE WALLACE, DO is a Emergency Medical Services healthcare provider located in FARMINGTON HILLS, Michigan. NPI 1699716613 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Services · FARMINGTON HILLS, MI

Registration Details

NPI Number
1699716613
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2006 (20.225679120506 yrs)
Last Updated
Nov 28, 2016
License
LW010385 (MI)

Practice Information

Address
28050 GRAND RIVER AVE
ER DEPARTMENT
FARMINGTON HILLS, MI, 483365919
Browse MI providers · Browse ZIP 48336
Phone
2484718000
Primary Specialty
Emergency Medical Services
207PE0004X

Other Emergency Medical Services Providers in FARMINGTON HILLS, MI

Name Credential NPI
ANDREW H ERLICH DO 1265470769
MARK A CYNAR DO 1538107180
CHARLES R VANDER ROEST DO 1831139740
DIANE L KAISER DO 1013958016
DIANE M PARATORE DO 1831130830
RICHARD W TRAICOFF DO 1023059037
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.