Search › Michigan › 363LP2300X
Penny Wallman
NPI 1346698941 · on the registry since 2016
Practice
- Address
- 735 E Chicago St
Bronson, MI 49028 - Phone
- (517) 858-1400
- Fax
- (517) 858-1403
Additional practice sites
- 677 E Main St, Centreville, MI
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 163W00000X
163W00000X - Licence states on file
- MI, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan