Individual provider · Type 1 NPI

Christian Alexander Wallace, PA-C

Physician Assistant · Milwaukee, WI

NPI number 1477201440 Active

Practice location

507 N 17th Street
Milwaukee, WI 53233

Call (414) 288-5688 Map

Mailing address

507 North 17th Street
Milwaukee, WI 53233

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5111 (TN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1477201440

Christian Alexander Wallace, PA-C's National Provider Identifier is 1477201440, issued on Mar 17, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 21, 2022.