Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raymond B Wallace, DO

Individual provider Emergency Medicine Physician · NPI 1437181153

Raymond B Wallace, DO is an Emergency Medicine in Milwaukee, Wisconsin. Graduated from Mid West Medical College in 1994, 32 years ago. Practices with Dhhs IHS Phoenix Area, a 52-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
32
Trained at
Mid West Medical College
Licensed in
WI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

111 E Wisconsin Ave Ste 2000
Milwaukee, WI 53202-4815
Phone: (414) 290-6720
Fax: (414) 290-6755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 44478-021 (WI)

Record details

NPI number1437181153
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESSeptember 26, 2016
Mailing address1700 Coral Dr, Ste A, Waukesha, WI 53186-1483

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMID WEST MEDICAL COLLEGE
Graduated 1994 (32 years in practice)
Group practice Dhhs Ihs Phoenix Area — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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