Organization
AGRACE PALLIATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE MYERS (CEO/PRESIDENT)
(608) 276-4660
Entity
Organization
Contact information
Practice address
5395 E CHERYL PKWY, FITCHBURG, WI 53711-5395
(608) 276-4660
(608) 327-7268
Mailing address
5395 E CHERYL PKWY, FITCHBURG, WI 53711-5395
(608) 276-4660
(608) 327-7268
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WI3115
PTAN
WI
Enumeration date
01/29/2013
Last updated
02/18/2015
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