Wallace, Kimberly
Wallace, Kimberly is an individual health care provider with primary practice located at 6777 W Maple Rd , West Bloomfield MI 48322-3013. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wallace, Kimberly can be contacted via phone (248) 661-6425.Contact Information
Primary practice address
6777 W Maple Rd
West Bloomfield MI 48322-3013
Phone: (248) 661-6425
Fax: (248) 325-0094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301084456 | Michigan |
Profile Details
| NPI number | 1750327045 |
|---|---|
| LBN Legal business name | Wallace, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Nov 7th, 2023 - about last year |
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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