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

Dennis Lee Wallace, PA

Individual provider Medical Physician Assistant · NPI 1396790986

Dennis Lee Wallace, PA is a Medical Physician Assistant in Flint, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4100 Beecher Rd Ste A
Flint, MI 48532-3661
Phone: (810) 342-3800
Fax: (810) 342-3784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601002261 (MI)

Record details

NPI number1396790986
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESAugust 11, 2010

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