Search › Wisconsin › 363L00000X
William Wallace, APNP
NPI 1467429860 · on the registry since 2006
Practice
- Address
- 1100 Gateway Ct
West Bend, WI 53095 - Phone
- (262) 335-8600
- Organisation at this address
- Aurora Advanced Healthcare Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Additional practice sites
- 700 W Central Ave, El Dorado, KS
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- KS, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin