Shane Edward Wallace, DC - Brooklyn, MI

Shane Edward Wallace, DC

Chiropractor in Brooklyn, Michigan

NPI 1639753239

Shane Edward Wallace is a Chiropractor based in Brooklyn, MI. Shane Edward Wallace practices in Brooklyn, MI and has the professional credentials of DC. The NPI Number for Shane Edward Wallace is 1639753239 and holds a License No. 2301011096 (Michigan).

The current practice location address for Shane Edward Wallace is 9909 Wamplers Lake Rd, Brooklyn, MI and can be reached out via phone at 517-592-8208.

Location: 9909 Wamplers Lake Rd, Brooklyn, MI, 49230-9503

NPI Number

1639753239

Provider Name

Shane Edward Wallace

Credential

Provider Entity Type

Individual

Gender

Male

Address

9909 Wamplers Lake Rd, Brooklyn, MI, 49230-9503

Phone Number

517-592-8208

Fax Number

Provider Enumeration Date

05/10/2021

Last Update Date

03/10/2024

Address

9909 Wamplers Lake Rd

City

Brooklyn

State

Michigan

Zip

49230-9503

Phone Number

517-592-8208

Fax Number

Address

9909 Wamplers Lake Rd

City

Brooklyn

State

Michigan

Zip

49230-9503

Phone Number

517-592-8208

Fax Number

Type

Chiropractic Providers

Classification

Chiropractor

Speciality

Taxonomy

111N00000X

License No.

2301011096 (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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