person
Dennis Lee Wallace, PA
Medical Physician Assistant in Flint, Michigan
NPI 1396790986

Dennis Lee Wallace is a Medical Physician Assistant based in Flint, MI and is specialized in Medical. Dennis Lee Wallace practices in Flint, MI and has the professional credentials of PA. The NPI Number for Dennis Lee Wallace is 1396790986 and holds a License No. 5601002261 (Michigan).

The current practice location address for Dennis Lee Wallace is 4100 Beecher Rd, Flint, MI and can be reached out via phone at 810-342-3800 and via fax at 810-342-3784. You can also correspond with Dennis Lee Wallace through the mailing address at 4100 BEECHER RD, FLINT, MI - 48532-3661 (mailing address contact number: 810-342-3800).

Location: 4100 Beecher Rd, Flint, MI, 48532-3661
person
Provider Profile Details
NPI Number
1396790986
Provider Name
Dennis Lee Wallace
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4100 Beecher Rd, Flint, MI, 48532-3661
Phone Number
810-342-3800
Fax Number
810-342-3784
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4100 Beecher Rd
City
State
Zip
48532-3661
Phone Number
810-342-3800
Fax Number
810-342-3784
person
Provider Business Mailing Address Details
Address
4100 Beecher Rd
City
State
Zip
48532-3661
Phone Number
810-342-3800
Fax Number
810-342-3784
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601002261 (Michigan)
Definition
Definition to come...
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