RAYMOND B WALLACE

MILWAUKEE, WI
NPI1437181153
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WI  44478-021)
Enumeration Date2006-07-06
Last Update Date2016-09-26
Business Address
-- RAYMOND B WALLACE D.O.
111 E WISCONSIN AVE SUITE 2000
MILWAUKEE, WI 53202-4815
Phone number: 414-290-6720
Mailing Address
-- RAYMOND B WALLACE D.O.
1700 CORAL DR STE A
WAUKESHA, WI 53186-1483
Phone number: 414-290-6720
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