Individual
ALLISON ERIN GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10625 W NORTH AVE STE 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3666
(651) 254-5216
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
68916
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2015
Last updated
05/10/2018
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