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

Dr. Daniel Leland Wallace, DO

Individual provider Family Medicine Physician · NPI 1275525875

Dr. Daniel Leland Wallace, DO is a Family Practice in Grand Rapids, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 1992, 34 years ago. Practices with Spectrum Health Hospitals, a 165-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
34
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2005
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

275 Michigan St NE
Grand Rapids, MI 49503-2531
Phone: (616) 267-0800
Fax: (616) 267-0801
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 5101011648 (MI)

Record details

NPI number1275525875
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address100 Michigan St Ne # Mc-845, Grand Rapids, MI 49503-2560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1992 (34 years in practice)
Group practice Spectrum Health Hospitals — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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