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Laurie Wallace, DO
Emergency Medical Services (Emergency Medicine) Physician in Farmington Hills, Michigan
NPI 1699716613

Laurie Wallace is a Emergency Medical Services (Emergency Medicine) Physician based in Cincinnati, MI and is specialized in Emergency Medical Services. Laurie Wallace practices in Farmington Hills, MI and has the professional credentials of DO. The NPI Number for Laurie Wallace is 1699716613 and holds a License No. LW010385 (Michigan).

The current practice location address for Laurie Wallace is 28050 Grand River Ave, Farmington Hills, MI and can be reached out via phone at 248-471-8000.

Location: 28050 Grand River Ave, Farmington Hills, MI, 45263-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699716613
Provider Name
Laurie Wallace
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
28050 Grand River Ave, Farmington Hills, MI, 45263-0001
Phone Number
248-471-8000
Fax Number
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114570889 05 MI
institution
Provider Business Practice Location Address Details
Address
28050 Grand River Ave
City
Farmington Hills
State
Michigan
Zip
48336-5919
Phone Number
248-471-8000
Fax Number
person
Provider Business Mailing Address Details
Address
28050 Grand River Ave
City
Farmington Hills
State
Michigan
Zip
48336-5919
Phone Number
248-471-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
LW010385 (Michigan)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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