Individual
ALLISON L GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-2420
(414) 456-6543
Mailing address
9000 W WISCONSIN AVENUE, PEDIATRIC HEMATOLOGY/ONCOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-2420
(414) 456-6543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
178401
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902184815
—
WI
Enumeration date
07/26/2011
Last updated
08/17/2011
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