Grace Dent P.a. | |
N4w22370 Bluemound Rd, Waukesha, WI 53186-1683 | |
(262) 970-5610 | |
Not Available |
Full Name | Grace Dent P.a. |
---|---|
Type | Facility |
Speciality | Chiropractor - Nutrition |
Location | N4w22370 Bluemound Rd, Waukesha, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598061640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NN1001X | Chiropractor - Nutrition | 4356-12 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Grace Dent P.a. N4w22370 Bluemound Rd, Waukesha, WI 53186-1683 Ph: (262) 970-5610 | Grace Dent P.a. N4w22370 Bluemound Rd, Waukesha, WI 53186-1683 Ph: (262) 970-5610 |
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