Matthew Alexander Wallace, P.A. is a medical physician assistant in Temperance, MI with 13 years of experience. Matthew Alexander Wallace, P.A. NPI is 1427321041. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7497 BERNARD DR
TEMPERANCE, MI
ZIP 48182-552
Phone: (616) 318-9649
The NPI 1427321041 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/13/2012 and was last updated on 2/13/2012.