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Provider Profile

Bonnie M. Wallace, PA-C

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At a glance

About Bonnie Wallace

Bonnie M. Wallace, PA-C is a physician assistant practicing in Portage, MI. This provider record is associated with NPI 1437402229.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

MI licenceAs reported to the NPI registry
No. 5601006513As reported
NPINational Provider Identifier
1437402229Issued 2012

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Bonnie M. Wallace specialize in?

Bonnie M. Wallace is a physician assistant in Portage, MI. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Bonnie M. Wallace located?

Bonnie M. Wallace is listed at 3304 Cooley CT, Portage, MI 49024. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Bonnie M. Wallace's phone number?

The number on file is (269) 349-2266. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Bonnie M. Wallace?

Bonnie M. Wallace's National Provider Identifier is 1437402229. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Bonnie M. Wallace have?

Bonnie M. Wallace has 14+ years experience. Registered with an NPI since 2012. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Bonnie M. Wallace's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Bonnie M. Wallace. If this is you, claiming it is free.

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