Renae Wallace
NPI 1497673172 · on the registry since 2026
Practice
- Address
- 5607 W Silver Spring Dr
Milwaukee, WI 53218 - Phone
- (414) 750-2253
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-09
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