Grace Lorraine Kalk PA

NPI 1063433316 - Physician Assistant - 363A00000X

NPI Details
NPI 1063433316
Gender Female
Enumeration Date 07/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
PULASKI WI, 54162-9453, US
Phone (920) 496-4700
Fax (920) 496-4705
Business Location
PO BOX 19070
GREEN BAY WI, 54307-9070, US
Phone (920) 496-4700
Fax (920) 496-4705
Taxonomy Code 363A00000X
License State Wisconsin
License Number 1034
Remove 1063433316 NPI Number

According to our database, Grace Lorraine Kalk PA NPI is 1063433316, taxonomy code is 363A00000X and license number is 1034, license state is located at Wisconsin. Grace Lorraine Kalk PA physically located at 940 S Saint Augustine St, Pulaski WI, 54162-9453. NPI Number Grace Lorraine Kalk PA has the Individual type.

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1063433316 NPI number is provided on an as is basis without warranty of any kind. 1063433316 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Lorraine Kalk PA are for informational purposes only.