Zachary C Wallace, MD is a student in an organized health care education training program in Milwaukee, WI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Zachary C Wallace, MD NPI is 1982353637. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2801 W KINNICKINNIC RIVER PKWY STE 250
MILWAUKEE, WI
ZIP 53215-678
Phone: (414) 649-6732
Fax: (414) 649-5840
The enumeration date for this NPI number is 3/21/2022 and was last updated on 8/23/2022.