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

Carly Wallace, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700562766

Carly Wallace, DO is a Student in an Organized Health Care Education/Training Program in Ypsilanti, Michigan. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5333 McAuley Dr Ste R-5003
Ypsilanti, MI 48197-1014
Phone: (734) 712-3376
Fax: (734) 887-8943
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 15182 (GA)

Record details

NPI number1700562766
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address5333 McAuley Dr Ste R-5003, Ypsilanti, MI 48197-1014

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