Wallace, Brandon

Wallace, Brandon is an individual health care provider with primary practice located at 28050 Grand River Ave , Farmington Hills MI 48336-5919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wallace, Brandon can be contacted via phone (947) 521-7265.

Contact Information

Primary practice address
28050 Grand River Ave Farmington Hills MI 48336-5919
Phone: (947) 521-7265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5151015898 Michigan

Profile Details

NPI number 1174261820
LBN Legal business name Wallace, Brandon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2022
Last updated May 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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