AMBER MICHELLE WALLACE

SOUTH BEND, IN
NPI1679716534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: IN  71002921A)
Enumeration Date2009-04-08
Last Update Date2023-04-28
Business Address
AMBER MICHELLE WALLACE NP
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601-1033
Phone number: 574-647-3050
Mailing Address
AMBER MICHELLE WALLACE NP
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number:
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