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Individual

KELLEN GRIMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L. AC

Contact information

Practice address
531 S WATER ST STE 200, MILWAUKEE, WI 53204-1668
(517) 242-1870
Mailing address
531 S WATER ST STE 200, MILWAUKEE, WI 53204-1668

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
967-55
WI

Other

Enumeration date
09/12/2018
Last updated
11/16/2022
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