Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Keith Wallis

Individual provider Peer Specialist · NPI 1134685167

David Keith Wallis is a Peer Specialist in Madison Heights, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

1400 E 12 Mile Rd
Madison Heights, MI 48071-2651
Phone: (248) 658-1116
Fax: (248) 658-1120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (MI)

Record details

NPI number1134685167
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 14, 2019
Last updated in NPPESFebruary 14, 2019

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