HOLLY A WALLACE

SUMMIT, WI
NPI1124660592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  9679)
Enumeration Date2019-10-17
Last Update Date2022-07-27
Business Address
HOLLY A WALLACE APNP
36500 AURORA DR
SUMMIT, WI 53066-4899
Phone number: 262-434-1000
Mailing Address
HOLLY A WALLACE APNP
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 262-434-1000