Individual
BRIANA DEVON GRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(507) 848-6957
Mailing address
1115 240TH AVE, FAIRMONT, MN 56031-4639
(507) 848-6957
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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