MICHELLE DIANNE WALLACE

INDIANAPOLIS, IN
NPI1316471790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28184348A)
Enumeration Date2017-04-12
Last Update Date2017-04-15
Business Address
-- MICHELLE DIANNE WALLACE FNP-C
8970 S MERIDIAN ST
INDIANAPOLIS, IN 46217-5031
Phone number: 317-374-7779
Mailing Address
-- MICHELLE DIANNE WALLACE FNP-C
8970 S MERIDIAN ST
INDIANAPOLIS, IN 46217-5031
Phone number:
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