Individual
GRACIE DEGROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
1500 N MILWAUKEE ST STE 502, MILWAUKEE, WI 53202-1240
(920) 660-0069
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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