Individual
COREY GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1820 2ND AVE SE STE 360, CAMBRIDGE, MN 55008-4155
(763) 689-3226
Mailing address
1802 GALLOWAY ST, EAU CLAIRE, WI 54703-3467
(715) 831-8966
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
08/19/2016
Last updated
10/22/2016
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