Individual
DR. GRACE CAROLINE WORZALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
W180N11070 RIVER LN, GERMANTOWN, WI 53022-3109
(262) 535-8400
Mailing address
W180N11070 RIVER LN, GERMANTOWN, WI 53022-3109
(262) 535-8400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
66406-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061203
—
WI
Enumeration date
04/08/2015
Last updated
11/24/2021
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