Individual
GRACE ABIGAILLE BARRANCO-LAXAMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MTL004220
DC
208M00000X
Hospitalist Physician
Primary
72857
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000102364
—
WI
Enumeration date
06/26/2017
Last updated
11/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us