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

Zachary C Wallace, MD

Individual provider Family Medicine Physician · NPI 1982353637

Zachary C Wallace, MD is a Family Practice in Grafton, Wisconsin. Graduated from Medical College of Wisconsin in 2022, 4 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2022
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

215 Washington St
Grafton, WI 53024-1700
Phone: (262) 375-3700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 W Kinnickinnic River Pkwy Ste 250, Milwaukee, WI 53215-3678 — (414) 649-6732

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 84265 (WI)

Record details

NPI number1982353637
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2022
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
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 schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2022 (4 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grafton