DR. Jeffrey David Wallace, D.C.
NPI #1679563928 in Grand Ledge, Michigan
Provider Information
- NPI Number
- 1679563928
- Entity Type
- Individual
- Name
- DR. Jeffrey David Wallace, D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Oct 27, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 820 CHARLEVOIX DR
- Address 2
- SUITE 210
- City
- Grand Ledge
- State
- Michigan
- ZIP Code
- 48837-8188
- Phone
- (517) 622-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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