OrganizationActive
Amy Blaising Wallace, D.O. PLC
NPI 1619171519 · Family Medicine Physician · Owosso, MI
Provider details
- NPI number
- 1619171519
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Blaising Wallace, Owner(989) 723-8333
- License
- 5101013086 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
818 W King St
Ste 103
Owosso, MI 48867-2116
Phone: (989) 723-8333
Street-level locationGet directions
Mailing address
818 W King St
Owosso, MI 48867-2116
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2007-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.