Michael G Wallace (NPI# 1689615346, PAC ID# 0648207910) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1689615346 |
| PAC ID by PECOS | 0648207910 |
| Professional Enrollment ID | I20050719001073 |
| Full Name | Michael G Wallace |
| Address |
1379 Flushing Rd Flushing MI 48433-2262 |
| Gender | M |
| Credential | OD |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 1986 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1379 Flushing Rd, Flushing, MI 48433-2262 | ||
| 1121 N Saginaw St, Suite 1, Holly, MI 48442-1380 |
| Street Address |
1379 FLUSHING RD |
| City | FLUSHING |
| State | MI |
| Zip | 48433-2262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elyse M Bruns | Optometry | 1379 Flushing Rd, Flushing, MI 48433-2262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiran Kinra | Internal Medicine | 540 Sunnyside Dr, Flushing, MI 48433-1474 | |
| David J Paschket | Chiropractic | 133 N Cherry St, Flushing, MI 48433-1601 | |
| Miguel M Ruelan Jr. | Chiropractic | 3280 N Elms Rd E, Flushing, MI 48433-1858 | |
| Stacey A Alarie | Optometry | 105 S Cherry St, Flushing, MI 48433-2018 | |
| Amber M Schlemmer | Physical Therapy | Primary Prevention Physiotherapy Pllc | 209 S Cherry St, Flushing, MI 48433-2020 |
| Lauren Racine | Physical Therapy | Primary Prevention Physiotherapy Pllc | 209 S Cherry St, Flushing, MI 48433-2020 |
| Jeffrey T Andres | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 1429 Flushing Rd A, Flushing, MI 48433-2228 |
| Kristi Ellen Rillema | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 1429 Flushing Rd A, Flushing, MI 48433-2228 |
| Matthew Callahan | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 1429 Flushing Rd A, Flushing, MI 48433-2228 |
| Jay Claypool | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 1429 Flushing Rd A, Flushing, MI 48433-2228 |
| Find all physicians in zip 48433 | |||
| City | FLUSHING |
| Zip Code | 48433 |
| Specialty | OPTOMETRY |
| City + Specialty | FLUSHING + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.