AMY BLAISING WALLACE

EATON RAPIDS, MI
NPI1356380950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101013086)
Enumeration Date2006-06-06
Last Update Date2018-12-17
Business Address
AMY BLAISING WALLACE D.O.
1415 S MAIN ST
EATON RAPIDS, MI 48827-1959
Phone number: 517-663-4809
Mailing Address
AMY BLAISING WALLACE D.O.
3337 BRITTON RD
PERRY, MI 48872-9706
Phone number: 517-625-3004
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