Weldon Wallace, MD

Individual Active
NPI 1679550875
Family Medicine Physician Grand Rapids, MI

NPI 1679550875 belongs to Weldon Wallace, MD, a family medicine physician with a practice location in Grand Rapids, MI. The NPI was issued on December 28, 2005, and the record was last updated in NPPES on August 10, 2026. The record lists 2 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X 4301085136 (MI)
Family Medicine Physician 207Q00000X 97022 (SC)

Practice locations

1260 Ekhart St NE
Grand Rapids, MI 49503-1372
Phone: (616) 356-5202
PO Box 740013
Atlanta, GA 30374-0013
Phone: (833) 804-1695

Local context

Active NPPES records list 698 providers with family medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 497 of them within 10 miles.

The same primary taxonomy is listed by 8,119 in Michigan and 210,185 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Other providers at this address

Providers whose NPPES practice location has the same street address, listing those with a page here.

Nearby providers with the same primary taxonomy

Record history

Name on record
Weldon Wallace
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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