Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZACHARY C WALLACE, MD
ActiveZACHARY C WALLACE, MD is a Family Medicine healthcare provider located in GRAFTON, Wisconsin. NPI 1982353637 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAFTON, WI
Registration Details
- NPI Number
- 1982353637
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2022 (4.3734092015347 yrs)
- Last Updated
- Jul 31, 2025
- License
-
84265 (WI)
Practice Information
- Address
-
215 WASHINGTON STGRAFTON, WI, 530241700Browse WI providers · Browse ZIP 53024
- Phone
- 2623753700
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRAFTON, WI
| Name | Credential | NPI |
|---|---|---|
| ADAM PETER CALUSIC | DO | 1790713436 |
| MARK D SHEWCZYK | MD | 1609809672 |
| DR. JAIME DIAZ CABATINGAN | M.D. | 1144406869 |
| LAUREN WEASLER | MD | 1013449685 |
| AUGUSTIN DOUGLAS HERNANDEZ | DO | 1023767415 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.