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

Hayley Michelle Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033796297

Hayley Michelle Wallace is an Emergency Medicine in Clinton Township, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2021, 5 years ago. Practices with Independent Observation Physicians PLLC, a 136-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone: (586) 263-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101028013 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033796297
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Independent Observation Physicians Pllc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clinton Township