Kimberly Wallace Md Pc

LBN: Kimberly Wallace Md Pc
Kimberly Wallace Md Pc is an health care organization with primary practice located at 12900 W 9 Mile Road , Oak Park MI 48237. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Kimberly Wallace Md Pc can be contacted via phone (248) 547-9292, or through Wallace, Kimberly via phone (248) 547-9292.

Contact Information

Primary practice address
12900 W 9 Mile Road Oak Park MI 48237
Phone: (248) 547-9292
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Kimberly Doctor of Medicine (MD)
Phone: (248) 547-9292

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1497397202
LBN Legal business name Kimberly Wallace Md Pc
DBA Doing business as
Authorized official Wallace, Kimberly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2019
Last updated Nov 13th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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