Individual
GRACE NICOLE MERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 SCIENCE DR, MADISON, WI 53711-1074
(476) 560-8263
Mailing address
2303 UNIVERSITY AVE, APT 332, MADISON, WI 53726
(715) 701-6009
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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