DR. John R Wallace, D.C.

NPI #1205835154 in Muskegon, Michigan

Provider Information

NPI Number
1205835154
Entity Type
Individual
Name
DR. John R Wallace, D.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Jul 21, 2005
Last Updated
Nov 29, 2011

Practice Location

Address
994 W BROADWAY AVE
ZIP Code
49441-3522
Phone
(231) 755-3333

Specialties & Taxonomy Codes

Specialty
Chiropractor

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