Individual
KATHLEEN AHERN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N 92ND ST, MILWAUKEE, WI 53226-1202
(414) 805-3000
Mailing address
17285 RIVER BIRCH DR, BROOKFIELD, WI 53045-3483
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
101-18
WI
Other
Enumeration date
03/08/2023
Last updated
03/23/2023
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