BRANDON WALLACE

FARMINGTON HILLS, MI
NPI1174261820
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: MI  5151015898)
Enumeration Date2022-05-23
Last Update Date2022-05-24
Business Address
BRANDON WALLACE
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336-5919
Phone number: 947-521-7265
Mailing Address
BRANDON WALLACE
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336-5919
Phone number:
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