Wallace, Daniel Leland
Wallace, Daniel Leland is an individual health care provider with primary practice located at 275 Michigan St Ne , Grand Rapids MI 49503-2531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wallace, Daniel Leland can be contacted via phone (616) 267-0800.Contact Information
Primary practice address
275 Michigan St Ne
Grand Rapids MI 49503-2531
Phone: (616) 267-0800
Fax: (616) 267-0801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101011648 | Michigan |
Profile Details
| NPI number | 1275525875 |
|---|---|
| LBN Legal business name | Wallace, Daniel Leland |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jan 22nd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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