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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Wallace Walker | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Wallace | [sources] | |||
| Last name | Walker | [sources] | |||
| NPI | 1780712109 | [sources] | |||
| Sector | Dentist | [sources] | |||
| Address | Okemos, MI | [sources] | |||
| Last change | Last processed | First seen | |||
Providers who have been terminated for cause from Michigan's Medicaid program.
United States · MDHHS
us-medmi-236de6c922b254229f8bf52b6f06d91a880b6209 · us-npi-1780712109For experts: raw data explorer
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