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Amy Blaising Wallace, D.O.

Family Medicine Physician in Eaton Rapids, MI · enumerated 2006 · practices at Athletico Ltd.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356380950

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Registry record

Entity type Individual (Type 1)
Name Amy Blaising Wallace
Credential D.O.
Sex Female
Practice address 1415 S Main St, Eaton Rapids, MI, 48827
Phone (517) 663-4809
Enumeration date Jun 6, 2006
Last updated in NPPES Dec 17, 2018

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 5101013086 (MI) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
1356380950 Medicaid MI -
4628183TYPE11 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Amy Wallace?
Amy Wallace is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-17.