Individual
GRACE LARSEN-BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1433 N WATER ST, MILWAUKEE, WI 53202-2557
(855) 832-6727
Mailing address
1433 N WATER ST, MILWAUKEE, WI 53202-2557
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
WI
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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