| Leontine Wallace, RN, BSN | |
|
2300 Haggerty Rd Ste 2110, West Bloomfield, MI 48323-2191 | |
| (248) 926-1420 | |
| (248) 926-5338 |
| Full Name | Leontine Wallace |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Lactation Consultant |
| Location | 2300 Haggerty Rd Ste 2110, West Bloomfield, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053800649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0200X | Registered Nurse - Pediatrics | 4704318023 (Michigan) | Secondary |
| 163WL0100X | Registered Nurse - Lactation Consultant | 4704318023 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Leontine Wallace, RN, BSN 2300 Haggerty Rd Ste 2110, West Bloomfield, MI 48323-2191 Ph: (248) 926-1420 | Leontine Wallace, RN, BSN 2300 Haggerty Rd Ste 2110, West Bloomfield, MI 48323-2191 Ph: (248) 926-1420 |
John Stephen Duginski, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2454 Middlebelt Rd, West Bloomfield, MI 48324 Phone: 414-750-6213 | |
Mrs. Maja Cerimagic, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-2839 | |
Ann Timm, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2300 Haggerty Rd, West Bloomfield, MI 48323 Phone: 248-859-2457 Fax: 248-859-2473 | |
Nelly Q Tester, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2300 Haggerty Rd Ste 2160, West Bloomfield, MI 48323 Phone: 248-859-2457 Fax: 248-859-2473 | |
Ronnya Peter, BSN Registered Nurse Medicare: Medicare Enrolled Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-1000 | |
Brigid Isabel Rojas, Registered Nurse Medicare: Medicare Enrolled Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-0611 | |
Lillie Ying Spilman, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-661-6602 |