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1699716613
LAURIE WALLACE
FARMINGTON HILLS, MI
NPI
1699716613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: MI LW010385)
Enumeration Date
2006-06-09
Last Update Date
2016-11-28
Business Address
-- LAURIE WALLACE DO
28050 GRAND RIVER AVE ER DEPARTMENT
FARMINGTON HILLS, MI 48336-5919
Phone number: 248-471-8000
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Mailing Address
-- LAURIE WALLACE DO
PO BOX 634087
CINCINNATI, OH 45263-0001
Phone number: 800-540-8739
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