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1861639353
NATALIE MICHAEL WALLACE
GRAND RAPIDS, MI
NPI
1861639353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI 4301090757)
Enumeration Date
2009-01-21
Last Update Date
2022-11-17
Business Address
NATALIE MICHAEL WALLACE MD
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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Mailing Address
NATALIE MICHAEL WALLACE MD
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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