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1982353637
ZACHARY C WALLACE
MILWAUKEE, WI
NPI
1982353637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-21
Last Update Date
2022-08-23
Business Address
ZACHARY C WALLACE MD
2801 W KINNICKINNIC RIVER PKWY STE 250
MILWAUKEE, WI 53215-3678
Phone number: 414-649-6732
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Mailing Address
ZACHARY C WALLACE MD
8720 N DEERWOOD DR APT 115
BROWN DEER, WI 53209-1321
Phone number: 262-389-6487
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