Individual
KATHRYN GRADECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13950 W CAPITOL DR STE 200, BROOKFIELD, WI 53005
(262) 781-3065
(262) 781-3835
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
66257-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447645452
—
WI
Enumeration date
04/06/2015
Last updated
07/18/2018
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