MR. William S Wallace, APNP

NPI #1467429860 in West Bend, Wisconsin

Provider Information

NPI Number
1467429860
Entity Type
Individual
Name
MR. William S Wallace, APNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
APNP
Enumeration Date
Mar 3, 2006
Last Updated
Jun 13, 2025

Practice Location

Address
1100 GATEWAY CT
ZIP Code
53095-8539
Phone
(262) 335-8600

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Nurse Practitioner

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