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1497397202
KIMBERLY WALLACE MD PC
OAK PARK, MI
NPI
1497397202
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Entity Type
Organization
Authorized Contact
KIMBERLY WALLACE
President
248-547-9292
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2019-10-14
Last Update Date
2019-11-13
Business Address
KIMBERLY WALLACE MD PC
12900 W 9 MILE ROAD
OAK PARK, MI 48237
Phone number: 248-547-9292
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Mailing Address
KIMBERLY WALLACE MD PC
P.O. BOX 700263
PLYMOUTH, MI 48170
Phone number:
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