Wallace, Daniel Leland

Wallace, Daniel Leland is an individual health care provider with primary practice located at 25 Michigan St Ne Suite 5100, Grand Rapids MI 49503-2515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wallace, Daniel Leland can be contacted via phone (616) 267-0800.

Contact Information

Primary practice address
25 Michigan St Ne Suite 5100 Grand Rapids MI 49503-2515
Phone: (616) 267-0800
Fax: (616) 267-0801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101011648 Michigan

Profile Details

NPI number 1275525875
LBN Legal business name Wallace, Daniel Leland
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Feb 19th, 2021 - about 3 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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