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

Dr. Nicholas Wallace, MD

Individual provider Orthopaedic Surgery Physician · NPI 1780033928

Dr. Nicholas Wallace, MD is an Orthopedic Surgery in Ann Arbor, Michigan. Graduated from University of Texas Medical School at Houston in 2016, 10 years ago. Practices with The Methodist Hospitals Inc, a 131-clinician group and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
10
Trained at
University of Texas Medical School at Houston
Licensed in
MI, WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3016 Barclay Way
Ann Arbor, MI 48105-9464
Phone: (616) 309-3319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 75714 (WI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 4301110098 (MI)

Record details

NPI number1780033928
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2016
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022
Mailing address3016 Barclay Way, Ann Arbor, MI 48105-9464

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 2016 (10 years in practice)
Group practice The Methodist Hospitals Inc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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