Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Blaising Wallace, DO PLC

Organization Family Medicine Physician · NPI 1619171519

Amy Blaising Wallace, DO PLC is a Family Medicine Physician in Owosso, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

818 W King St Ste 103
Owosso, MI 48867-2116
Phone: (989) 723-8333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101013086 (MI)

Record details

NPI number1619171519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Blaising Wallace — Owner · (989) 723-8333
NPI enumeratedJune 13, 2007
Last updated in NPPESOctober 9, 2007
Mailing address818 W King St, Ste 103, Owosso, MI 48867-2116

Other providers in Owosso