NPI 1275525875 DR. DANIEL LELAND WALLACE DO GRAND RAPIDS MI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Daniel Leland Wallace - NPI: 1275525875

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. DANIEL LELAND WALLACE
NPI Number: 1275525875
Entity Type Code: Individual (1)
Gender: M
Credentials: DO
License Number: 5101011648
Business Practice Address: 25 Michigan St Ne
Suite 5100 Grand Rapids, MI - 495032515
Business Phone Number: 6162670800
Business Fax Number: 6162670801
Mailing Address: 100 Michigan St Ne # Mc-845,
GRAND RAPIDS
State: MI
Postal Code: 495032560
Phone Number: 6162670800
Fax Number: 6162670801
NPI Enumeration Date: 08/19/2005
NPI Last Update Date: 01/04/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207Q00000X
License Number: 5101011648
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MI
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Family Medicine
Taxonomy Specialization:
Taxonomy 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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