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Brianna Kyle Wallace, DC
Chiropractor in Adrian, Michigan
NPI 1164085411

Brianna Kyle Wallace is a Chiropractor based in Tecumseh, MI. Brianna Kyle Wallace practices in Adrian, MI and has the professional credentials of DC. The NPI Number for Brianna Kyle Wallace is 1164085411 and holds a License No. 2301010808 (Michigan).

The current practice location address for Brianna Kyle Wallace is 690 Riverside Ave, Adrian, MI and can be reached out via phone at 177-594-1835.

Location: 690 Riverside Ave, Adrian, MI, 49286-1342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164085411
Provider Name
Brianna Kyle Wallace
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
690 Riverside Ave, Adrian, MI, 49286-1342
Phone Number
177-594-1835
Fax Number
Provider Enumeration Date
04/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2301010808 05 MI
institution
Provider Business Practice Location Address Details
Address
690 Riverside Ave
City
Adrian
State
Michigan
Zip
49221-1544
Phone Number
177-594-1835
Fax Number
person
Provider Business Mailing Address Details
Address
690 Riverside Ave
City
Adrian
State
Michigan
Zip
49221-1544
Phone Number
177-594-1835
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301010808 (Michigan)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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