LAURIE WALLACE

FARMINGTON HILLS, MI
NPI1699716613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207PE0004X Emergency Medicine Emergency Medical Services
(Licence: MI  LW010385)
Enumeration Date2006-06-09
Last Update Date2016-11-28
Business Address
LAURIE WALLACE DO
28050 GRAND RIVER AVE ER DEPARTMENT
FARMINGTON HILLS, MI 48336-5919
Phone number: 248-471-8000
Mailing Address
LAURIE WALLACE DO
PO BOX 634087
CINCINNATI, OH 45263-0001
Phone number: 800-540-8739
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