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NPI Code Detail

MEDICARE: GRACE GROESSL

MEDICARE: GRACE GROESSL
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
1235Z00000XSpeech-Language Pathologist7026154WI

General Provider Information

NPI Number : 1740859537
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE GROESSL
Provider Business Mailing Address
First Line : 2727 W MITCHELL ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-2259
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2727 W MITCHELL ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-2259
Country : US
Telephone Number : 704-862-4755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2021
Last Update Date : 01/14/2026

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Directions to “ GRACE GROESSL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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