Individual
GRACE SPARKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-5725
Mailing address
750 W VIRGINIA ST, MILWAUKEE, WI 53204-1539
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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