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

MS. Margaret L Wallace, PA

Individual provider Physician Assistant · NPI 1366877060

MS. Margaret L Wallace, PA is a Physician Assistant in Detroit, Michigan. Qualified in 2013, 13 years ago. Practices with Progressive Health Care PC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2689
Phone: (313) 916-2895
Fax: (313) 916-8799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22100 Greenfield Rd, Oak Park, MI 48237-2550 — (248) 968-4811

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006812 (MI)

Record details

NPI number1366877060
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 12, 2013
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Progressive Health Care Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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