Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brian Ken Wallace, MD

Individual provider Family Medicine Physician · NPI 1659488690

Dr. Brian Ken Wallace, MD is a Family Practice in Milwaukee, Wisconsin. Graduated from University of Wisconsin School of Medicine in 1984, 42 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
42
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2801 W Kinnickinnic River Pkwy #250
Milwaukee, WI 53215
Phone: (414) 649-6732
Fax: (414) 649-5840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 27108 (WI)

Record details

NPI number1659488690
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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