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

Michael T Wallace, ARNP

Individual provider Adult Health Nurse Practitioner · NPI 1194029777

Michael T Wallace, ARNP is an Adult Health Nurse Practitioner in Minnetonka, Minnesota. Licensed in Florida and Wisconsin. Registered with an NPI since 2010.

Licensed in
FL, WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone: (352) 529-7314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence ARNP2975042 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 7139-33 (WI)

Record details

NPI number1194029777
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorNo
NPI enumeratedDecember 22, 2010
Last updated in NPPESMarch 7, 2023
Certification dateSeptember 9, 2020
Mailing addressPo Box 953, Coleman, FL 33521-0953

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