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Michelle D Wallace
Durable Medical Equipment & Medical Supplies in Largo, Maryland
NPI 1972044519

Michelle D Wallace is a Durable Medical Equipment & Medical Supplies based in Largo, MD. Michelle D Wallace practices in Largo, MD. The NPI Number for Michelle D Wallace is 1972044519 and holds a License No. (Maryland).

The current practice location address for Michelle D Wallace is 9701 Apollo Dr Ste 105, Largo, MD and can be reached out via phone at 301-985-2985 and via fax at 240-565-6034.

Location: 9701 Apollo Dr Ste 105, Largo, MD, 20774-4785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972044519
Provider Name
Michelle D Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
9701 Apollo Dr Ste 105, Largo, MD, 20774-4785
Phone Number
301-985-2985
Fax Number
240-565-6034
Provider Enumeration Date
03/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5906592 01 CIGNA
10085097 01 DC CAREFIRST CHPDC
10085097 01 DC MEDSTAR FAMILY CHOICE OF DC
2021218766 05 VA
PDXGR13328727 01 MD AETNA BETTER HEALTH OF MARYLAND
10085097 01 MD MEDSTAR FAMILY CHOICE OF MD
60402094 01 DC AMERI HEALTH CARITAS DC
institution
Provider Business Practice Location Address Details
Address
9701 Apollo Dr Ste 105
City
Largo
State
Maryland
Zip
20774-4785
Phone Number
301-985-2985
Fax Number
240-565-6034
person
Provider Business Mailing Address Details
Address
9701 Apollo Dr Ste 105
City
Largo
State
Maryland
Zip
20774-4785
Phone Number
301-985-2985
Fax Number
240-565-6034
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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