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1568232676
MICHELLE WALLACE
INDIANAPOLIS, IN
NPI
1568232676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71014833A)
Enumeration Date
2024-01-09
Last Update Date
2024-02-15
Business Address
MICHELLE WALLACE NP
1400 N RITTER AVE STE 231
INDIANAPOLIS, IN 46219-3099
Phone number: 317-621-4657
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Mailing Address
MICHELLE WALLACE NP
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-7547
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