NPI 1033796297

Hayley Michelle Wallace

Practitioner Emergency Medicine Physician Clinton Township, MI

Practice location

Address: 15855 19 Mile Rd, Clinton Township, MI 48038-3504
Phone: (586) 263-2300

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 5101028013 (MI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1033796297
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2021
Record last updated: 6 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.