Kimberly Wallace

Individual Active
NPI 1750327045
Obstetrics & Gynecology Physician West Bloomfield, MI

Kimberly Wallace holds NPI 1750327045, with a primary taxonomy of obstetrics & gynecology physician and a practice location in West Bloomfield, MI. The number was issued on June 22, 2006 and the NPPES record was last updated on September 30, 2025. The record lists 2 taxonomy codes. 3 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X 4301084456 (MI)
Obstetrics & Gynecology Physician 207V00000X 036173865 (IL)

Practice locations

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone: (248) 661-6425
28555 Orchard Lake Rd
Ste. 120
Farmington Hills, MI 48334-2973
Phone: (248) 489-1070
601 John St
Kalamazoo, MI 49007-5341
Phone: (269) 341-7979
1614 E Norris Dr
Ottawa, IL 61350-3681
Phone: (815) 431-0435

Local context

Active NPPES records list 984 providers with obstetrics & gynecology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 309 of them within 10 miles.

The same primary taxonomy is listed by 2,239 in Michigan and 58,566 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
Kimberly Wallace
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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