SARAH J WALLACE

GRAND RAPIDS, MI
NPI1144458969
Former NameSARAH J DEBIAK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  5101018343)
Enumeration Date2009-07-01
Last Update Date2014-10-01
Business Address
-- SARAH J WALLACE DO
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1680
Mailing Address
-- SARAH J WALLACE DO
2537 MOMENTUM PL
CHICAGO, IL 60689-5325
Phone number: 616-975-1845
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