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

Dr. Michael Anthony Wallace, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447199864

Dr. Michael Anthony Wallace, DO is a Student in an Organized Health Care Education/Training Program in Bradenton, Florida. Registered with an NPI since 2026.

In the registry since
2026
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.

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Practice location Address checks out

2020 59th St W
Bradenton, FL 34209-4604
Phone: (941) 257-2581
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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

Record details

NPI number1447199864
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2026
Last updated in NPPESMarch 28, 2026
Certification dateMarch 28, 2026
Mailing address2020 59th St W, Bradenton, FL 34209-4604

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