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1740208693
WALLACE CHRISTY
YPSILANTI, MI
NPI
1740208693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301056148)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- WALLACE CHRISTY MD
111 N HURON ST SUITE #203
YPSILANTI, MI 48197-2676
Phone number: 734-547-7900
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Mailing Address
-- WALLACE CHRISTY MD
PO BOX 593
GRASS LAKE, MI 49240-0593
Phone number: 517-783-3675
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