Mackenzie Wallace
Mackenzie Wallace is a Student in an Organized Health Care Education/Training Program in Victoria, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
1772 Stieger Lake Ln Ste 220Victoria, MN 55386-7720
Phone: (952) 443-4600
Fax: (952) 443-4604
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1871420737 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 5, 2026 |
| Last updated in NPPES | May 5, 2026 |
| Certification date | May 4, 2026 |
| Mailing address | 1772 Stieger Lake Ln Ste 220, Victoria, MN 55386-7720 |
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1772 Stieger Lake Ln Ste 220, Victoria, MN 55386-7720 · (952) 443-4600