MEDICARE: GRACE MEWHIRTER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	6402-12	WI

General Provider Information

NPI Number	:	1508708819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE MEWHIRTER DC

Provider Business Mailing Address
First Line	:	6000 MONONA DR STE 201
Second Line	:
City	:	MONONA
State	:	WI
Zip	:	53716-3329
Country	:	US
Telephone Number	:	608-221-1597
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 MONONA DR STE 201
Second Line	:
City	:	MONONA
State	:	WI
Zip	:	53716-3329
Country	:	US
Telephone Number	:	608-221-1597
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/08/2026

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Directions to “ GRACE MEWHIRTER DC” Practice Location

Language	Start Address	Practice Location

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