AMY WALLACE

KALAMAZOO, MI
NPI1922472455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704241734)
Enumeration Date2015-11-20
Last Update Date2017-03-22
Business Address
-- AMY WALLACE NP
333 PORTAGE ST
KALAMAZOO, MI 49007-4931
Phone number: 269-359-4407
Mailing Address
-- AMY WALLACE NP
6678 GUERNSEY LAKE RD
DELTON, MI 49046-9739
Phone number:
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