Individual
GRACE ANNE MAWHINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3409 N DOWNER AVE, MILWAUKEE, WI 53211-2934
(262) 949-4838
Mailing address
12748 E COUNTY ROAD M, DARIEN, WI 53114-1101
(262) 949-4838
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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