AMY BLAISING WALLACE, D.O. PLC
NPI 1619171519
Family Medicine in Owosso, MI

Q: What is Amy Blaising Wallace, D.O. Plc's NPI number?

The NPI number for Amy Blaising Wallace, D.O. Plc is 1619171519. It was assigned to this organization in the NPPES registry on June 13, 2007.

Q: What is Amy Blaising Wallace, D.O. Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 13, 2007

818 W KING ST, STE 103, OWOSSO, MI 48867(989) 723-8333 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Amy Blaising Wallace, D.o. Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY BLAISING WALLACE, D.O. PLC (NPI 1619171519) is a healthcare organization registered as a family medicine in Owosso, Michigan and active in the NPI registry since June 2007. The organization lists Amy Blaising Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1619171519

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameAMY BLAISING WALLACE, D.O. PLC

Location Address818 W KING ST, STE 103Owosso, MI 48867-2116

Mailing Address818 W King St, Ste 103Owosso, MI 48867-2116

Phone(989) 723-8333

Organization SubpartNo

Authorized OfficialAmy Blaising WallaceOwner · (989) 723-8333

Enumeration DateJune 13, 2007

Last NPPES UpdateOctober 9, 2007

✔ NPI 1619171519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101013086

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

818 W KING ST, Owosso, MI 48867

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Other Identifiers 1

Medicare UPING83975MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE KERR WINSLOW MD

Obstetrics & Gynecology

818 W KING ST, SUITE 300
OWOSSO, MI 48867

Shiawassee County (989) 729-4300

MARKUS BYRON

Nurse Practitioner (Family)

818 W KING ST
OWOSSO, MI 48867

Shiawassee County (989) 723-2299

WALID M AZMEH M.D.

Surgery

818 W KING ST, STE 201
OWOSSO, MI 48867

Shiawassee County (989) 723-3168

MARIE L SPIESS PA-C

Physician Assistant

818 W KING ST, STE 201
OWOSSO, MI 48867

Shiawassee County (989) 723-3168

RICHARD KENNETH SCHULZ D.O.

Surgery

818 W KING ST, SUITE 201
OWOSSO, MI 48867

Shiawassee County (989) 723-3168

CARLIE M BENINGO PA

Physician Assistant

818 W KING ST, STE 103
OWOSSO, MI 48867

Shiawassee County (989) 723-8333

DR. SHANNON THOMAS RADGENS D.O.

Otolaryngology (Plastic Surgery within the Head & Neck)

818 W KING ST, SUITE 301
OWOSSO, MI 48867

Shiawassee County (989) 729-4800

RED CEDAR EAR NOSE THROAT & AUDIOLOGY P.L.L.C.

Specialist

818 W KING ST, SUITE 301
OWOSSO, MI 48867

Shiawassee County (989) 729-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Blaising Wallace, D.O. Plc's NPI number?

The NPI number for Amy Blaising Wallace, D.O. Plc is 1619171519. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Amy Blaising Wallace, D.O. Plc located?

Amy Blaising Wallace, D.O. Plc is located at 818 W King St Ste 103, Owosso, MI 48867. The listed phone number is (989) 723-8333.

What is Amy Blaising Wallace, D.O. Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Amy Blaising Wallace, D.O. Plc was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.