person
Matthew Alexander Wallace, PA
Medical Physician Assistant in Temperance, Michigan
NPI 1427321041

Matthew Alexander Wallace is a Medical Physician Assistant based in Temperance, MI and is specialized in Medical. Matthew Alexander Wallace practices in Temperance, MI and has the professional credentials of PA. The NPI Number for Matthew Alexander Wallace is 1427321041 and holds a License No. (Michigan).

The current practice location address for Matthew Alexander Wallace is 7497 Bernard Dr, Temperance, MI and can be reached out via phone at 616-318-9649.

Location: 7497 Bernard Dr, Temperance, MI, 48182-1552
person
Provider Profile Details
NPI Number
1427321041
Provider Name
Matthew Alexander Wallace
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
7497 Bernard Dr, Temperance, MI, 48182-1552
Phone Number
616-318-9649
Fax Number
Provider Enumeration Date
02/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7497 Bernard Dr
City
State
Zip
48182-1552
Phone Number
616-318-9649
Fax Number
person
Provider Business Mailing Address Details
Address
7497 Bernard Dr
City
State
Zip
48182-1552
Phone Number
616-318-9649
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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