Brandon Wallace
Brandon Wallace is an Orthopaedic Surgery Physician in Farmington Hills, Michigan. Licensed in Michigan. Registered with an NPI since 2022.
- Licensed in
- MI
- In the registry since
- 2022
Practice location Address checks out
28050 Grand River AveFarmington Hills, MI 48336-5919
Phone: (947) 521-7265
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Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence 5151015898 (MI) |
|---|
Record details
| NPI number | 1174261820 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 23, 2022 |
| Last updated in NPPES | May 24, 2022 |
| Certification date | May 23, 2022 |
| Mailing address | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 |
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