Individual provider · Type 1 NPI

Brian Ken Wallace, MD

Family Medicine Physician · Milwaukee, WI

NPI number 1659488690 Active

Practice location

2801 W Kinnickinnic River Pkwy, #250
Milwaukee, WI 53215

Fax (414) 649-5840

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X27108 (WI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1659488690

Brian Ken Wallace, MD's National Provider Identifier is 1659488690, issued on Aug 24, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 22, 2023.