Raymond B Wallace Emergency Medicine
1700 Coral Dr A, Waukesha, WI 53186-1483


Raymond B Wallace is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1437181153. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 8921161001. The primary specialty is EMERGENCY MEDICINE. The organization is BADGER MEDICAL GROUP SC. The address is 1700 Coral Dr A, Waukesha, WI 53186-1483. The zip code is 53186.


Raymond B Wallace · 1700 Coral Dr A, Waukesha, WI 53186-1483

Nation Provider ID 1437181153
PAC ID by PECOS 8921161001
Professional Enrollment ID I20090115000528
Last Name WALLACE
First Name RAYMOND
Middle Name B
Gender M
Medical School Name CHICAGO COLLEGE OF OSTEOPATHY
Graduation Year 1994
Primary Specialty EMERGENCY MEDICINE
Primary Specialty BADGER MEDICAL GROUP SC
Phone Number 2622326200
Group Practice PAC ID 6103148507
Number of Group Practice Members 2
Address 1700 CORAL DR A
WAUKESHA, WI 531861483
Professional accepts Medicare Assignment Y
Report Quality Measures Y

Badger Medical Group Sc · Medicare Physician

Name Address Specialty
Howard Martin 1700 Coral Dr A, Waukesha, WI 53186-1483 GENERAL PRACTICE

Zip 53186 · Medicare Physician

Name Address Specialty
David Gazeley 2315 E Moreland Blvd, Waukesha, WI 53186-2939 RHEUMATOLOGY
Christopher Hussussian N4 W22370 Bluemound Rd, Waukesha, WI 53186-1683 PLASTIC AND RECONSTRUCTIVE SURGERY
Amy Domeyer-klenske 2315 E Moreland Blvd, Waukesha, WI 53186-2939 OBSTETRICS/GYNECOLOGY
Nicholas Ellenson 21075 Swenson Dr, Waukesha, WI 53186-2063 CHIROPRACTIC
Melissa Kalt 2315 E Moreland Blvd, Waukesha, WI 53186-2939 PEDIATRIC MEDICINE
Jessica Schrock 20720 W Watertwon Rd, Waukesha, WI 53186-1823 AUDIOLOGIST
Amy Heffernan Lowe 1820 E Main St, Waukesha, WI 53186-3902 CHIROPRACTIC
Thomas Edwards 21195 Watertown Rd, Waukesha, WI 53186-1898 CHIROPRACTIC
Anthony Hoang 22370 Bluemound Rd, Waukesha, WI 53186-1683 OBSTETRICS/GYNECOLOGY
Amber Bartels 100 Arcadian Ave, Waukesha, WI 53186-5002 OPTOMETRY
Greg Heal N4w22370 Bluemound Rd, Waukesha, WI 53186-1683 OBSTETRICS/GYNECOLOGY
Gabriele Langan 21075 Swenson Dr, Waukesha, WI 53186-2062 PHYSICAL THERAPY
Susan Schramka 741 N Grand Ave, Waukesha, WI 53186-4841 CLINICAL PSYCHOLOGIST
Daniel Green 20700 Watertown Rd, Waukesha, WI 53186-1800 CLINICAL PSYCHOLOGIST
Robby Amiot 2315 E Moreland Blvd, Waukesha, WI 53186-2939 PODIATRY
Sean Wilson 2315 E Moreland Blvd, Waukesha, WI 53186-2939 ORTHOPEDIC SURGERY
Crystal Rieser W231 N1440 Corporate Court, Waukesha, WI 53186-1303 FAMILY PRACTICE
Dan Killian 1720 Dolphin Ct E, Waukesha, WI 53186-1429 CHIROPRACTIC
Amy Miller Guhl 2120 E Moreland Blvd C, Waukesha, WI 53186-4038 PODIATRY
George Hanacik 1569 E Racine Ave, Waukesha, WI 53186-6826 CHIROPRACTIC