GRACE ABIGAILLE BARRANCO-LAXAMANA

GREEN BAY, WI
NPI1912427469
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208M00000X Hospitalist
(Licence: WI  72857)
Additional Taxonomies207R00000X Internal Medicine
(Licence: DC  MTL004220)
Enumeration Date2017-06-26
Last Update Date2021-11-22
Business Address
GRACE ABIGAILLE BARRANCO-LAXAMANA
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-8000
Mailing Address
GRACE ABIGAILLE BARRANCO-LAXAMANA
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 414-389-2377