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Dr. Daniel Leland Wallace, DO
Family Medicine Physician in Grand Rapids, Michigan
NPI 1275525875

Daniel Leland Wallace is a Family Medicine Physician based in Grand Rapids, MI. Daniel Leland Wallace practices in Grand Rapids, MI and has the professional credentials of DO. The NPI Number for Daniel Leland Wallace is 1275525875 and holds a License No. 5101011648 (Michigan).

The current practice location address for Daniel Leland Wallace is 275 Michigan St Ne, Grand Rapids, MI and can be reached out via phone at 616-267-0800 and via fax at 616-267-0801.

Location: 275 Michigan St Ne, Grand Rapids, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275525875
Provider Name
Daniel Leland Wallace
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
275 Michigan St Ne, Grand Rapids, MI, 49503-2560
Phone Number
616-267-0800
Fax Number
616-267-0801
Provider Enumeration Date
08/19/2005
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
275 Michigan St Ne
City
Grand Rapids
State
Michigan
Zip
49503-2531
Phone Number
616-267-0800
Fax Number
616-267-0801
person
Provider Business Mailing Address Details
Address
275 Michigan St Ne
City
Grand Rapids
State
Michigan
Zip
49503-2531
Phone Number
616-267-0800
Fax Number
616-267-0801
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101011648 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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