KIMBERLY WALLACE

WEST BLOOMFIELD, MI
NPI1750327045
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: MI  4301084456)
Enumeration Date2006-06-22
Last Update Date2023-11-07
Business Address
KIMBERLY WALLACE
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322-3013
Phone number: 248-661-6425
Mailing Address
KIMBERLY WALLACE
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322-3013
Phone number: 248-661-6425
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