GRACE ROTHSTEIN IMMEL

WAUWATOSA, WI
NPI1255715678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  3626-23)
Enumeration Date2015-07-15
Last Update Date2021-04-06
Business Address
Mrs. GRACE ROTHSTEIN IMMEL PA-C
2885 N MAYFAIR RD
WAUWATOSA, WI 53222-4404
Phone number: 414-771-6780
Mailing Address
Mrs. GRACE ROTHSTEIN IMMEL PA-C
10001 W INNOVATION DR STE 200
WAUWATOSA, WI 53226-4851
Phone number: 414-771-6780
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