Individual
MS. LEANNE GRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1863-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001863302E
HUMANA
—
05
—
1538110333
—
WI
05
—
42871700
—
WI
Enumeration date
05/15/2006
Last updated
12/20/2021
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