| Zachary C Wallace, MD | |
|
215 Washington St, Grafton, WI 53024-1700 | |
| (262) 375-3700 | |
| Not Available |
| Full Name | Zachary C Wallace |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 215 Washington St, Grafton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982353637 | NPI | - | NPPES |
| 100290835 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 84265 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary C Wallace, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Zachary C Wallace, MD 215 Washington St, Grafton, WI 53024-1700 Ph: (262) 375-3700 |
Lauren Weasler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1369 N Port Washington Rd Ste 362, Grafton, WI 53024 Phone: 414-375-5135 Fax: 414-363-4460 | |
Lester Ferra, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 | |
Augustin Douglas Hernandez, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6032 | |
Dr. Jaime Diaz Cabatingan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2061 Cheyenne Ct, Grafton, WI 53024 Phone: 262-376-1934 Fax: 262-375-2076 | |
Mark D Shewczyk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2061 Cheyenne Ct, Grafton, WI 53024 Phone: 262-376-1934 | |
Adam Peter Calusic, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-375-6306 | |
Dr. Avigdor Gregory Asner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 |