Mr. John David Wallace, PA-C
Mr. John David Wallace, PA-C is a Physician Assistant in East Jordan, Michigan. Works from 2 locations. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2012
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
601 Bridge StEast Jordan, MI 49727-9383
Phone: (231) 536-2206
Fax: (231) 536-7150
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 6135 Cressy St, Indian River, MI 49749-5151 — (231) 238-8908
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601006422 (MI) |
|---|
Record details
| NPI number | 1487909511 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 15, 2012 |
| Last updated in NPPES | September 20, 2022 |
| Certification date | September 20, 2022 |
| Mailing address | 601 Bridge St, East Jordan, MI 49727-9383 |