ZACHARY C WALLACE

GRAFTON, WI
NPI1982353637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  84265)
Enumeration Date2022-03-21
Last Update Date2025-07-31
Business Address
ZACHARY C WALLACE MD
215 WASHINGTON ST
GRAFTON, WI 53024-1700
Phone number: 262-375-3700
Mailing Address
ZACHARY C WALLACE MD
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250