Shane Edward Wallace is a Brooklyn, Michigan based male chiropractor who is specialized as General Chiropractor. Active license number of Shane Edward Wallace as General Chiropractor is 2301011096 in Michigan. Shane Edward Wallace is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Shane Edward Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Gender:
Male
Practice Address:
9909 Wamplers Lake Rd, Brooklyn, Michigan, 49230-9503
Phone:
517-592-8208
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1639753239
NPI Enumeration Date:
10 May, 2021
NPI Last Update On:
10 May, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane Edward Wallace are as mentioned below.
License Number
Specialization
State
Status
2301011096
Chiropractor
Michigan
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9909 Wamplers Lake Rd, Brooklyn, Michigan
Zip:
49230-9503
Phone Number:
517-592-8208
Fax Number:
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Patients can reach Shane Edward Wallace at 9909 Wamplers Lake Rd, Brooklyn, Michigan or can call to book an appointment on 517-592-8208. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.