MEDICARE: GRETCHEN E MCCOOL CNM

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	367A00000X	Advanced Practice Midwife	148890	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720336274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRETCHEN E MCCOOL CNM

Provider Business Mailing Address
First Line	:	302 N JACKSON ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-5917
Country	:	US
Telephone Number	:	414-289-3796
Fax Number	:	414-431-0733

Provider Business Practice Location Address
First Line	:	801 E CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-1300
Country	:	US
Telephone Number	:	844-493-1052
Fax Number	:	414-291-5207

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

Provider Enumeration Date	:	08/15/2012
Last Update Date	:	04/10/2026

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Directions to “ GRETCHEN E MCCOOL CNM” Practice Location

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