MARGARET L WALLACE

DETROIT, MI
NPI1366877060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006812)
Enumeration Date2013-09-12
Last Update Date2025-06-23
Business Address
Ms. MARGARET L WALLACE PA
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-2895
Mailing Address
Ms. MARGARET L WALLACE PA
1 FORD PL STE 3A
DETROIT, MI 48202-3450
Phone number: 313-874-4806
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