Individual
GRACE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
13879
MN
363A00000X
Physician Assistant
Primary
7666
WI
363A00000X
Physician Assistant
—
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/08/2021
Last updated
12/15/2025
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