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Kimberly Wallace Md Pc
Medical Specialty Clinic/Center in Oak Park, Michigan
NPI 1497397202

Kimberly Wallace Md Pc is a Medical Specialty Clinic/Center based in Plymouth, MI and is specialized in Medical Specialty. Kimberly Wallace Md Pc practices in Oak Park, MI. The NPI Number for Kimberly Wallace Md Pc is 1497397202 and holds a License No. (Michigan).

The current practice location address for Kimberly Wallace Md Pc is 12900 W 9 Mile Road, Oak Park, MI and can be reached out via phone at 248-547-9292.

Location: 12900 W 9 Mile Road, Oak Park, MI, 48170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497397202
Provider Name
Kimberly Wallace Md Pc
Credential
Provider Entity Type
Organization
Address
12900 W 9 Mile Road, Oak Park, MI, 48170
Phone Number
248-547-9292
Fax Number
Provider Enumeration Date
10/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12900 W 9 Mile Road
City
Oak Park
State
Michigan
Zip
48237
Phone Number
248-547-9292
Fax Number
person
Provider Business Mailing Address Details
Address
12900 W 9 Mile Road
City
Oak Park
State
Michigan
Zip
48237
Phone Number
248-547-9292
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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