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Weldon Wallace, MD
Family Medicine Physician in Grand Rapids, Michigan
NPI 1679550875

Weldon Wallace is a Family Medicine Physician based in Grand Rapids, MI. Weldon Wallace practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Weldon Wallace is 1679550875 and holds a License No. 4301085136 (Michigan).

The current practice location address for Weldon Wallace is 1260 Ekhart St Ne, Grand Rapids, MI and can be reached out via phone at 616-356-5202 and via fax at 616-458-9845.

Location: 1260 Ekhart St Ne, Grand Rapids, MI, 49503-1372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679550875
Provider Name
Weldon Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1260 Ekhart St Ne, Grand Rapids, MI, 49503-1372
Phone Number
616-356-5202
Fax Number
616-458-9845
Provider Enumeration Date
12/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4752504 05 MI
institution
Provider Business Practice Location Address Details
Address
1260 Ekhart St Ne
City
Grand Rapids
State
Michigan
Zip
49503-1372
Phone Number
616-356-5202
Fax Number
616-458-9845
person
Provider Business Mailing Address Details
Address
1260 Ekhart St Ne
City
Grand Rapids
State
Michigan
Zip
49503-1372
Phone Number
616-356-5202
Fax Number
616-458-9845
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301085136 (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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