FELICIA MARIE WALLACE

SOUTHFIELD, MI
NPI1154692523
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704238067)
Enumeration Date2012-01-18
Last Update Date2014-02-27
Business Address
-- FELICIA MARIE WALLACE FNP-BC
16001 WEST 9 MILE ROAD
SOUTHFIELD, MI 48075
Phone number: 248-849-2528
Mailing Address
-- FELICIA MARIE WALLACE FNP-BC
16001 WEST 9 MILE ROAD PROVIDENCE HOSPITAL
SOUTHFIELD, MI 48075
Phone number: 248-849-2528
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