Provider Demographics
NPI:1104414135
Name:GRAUER, ANN F (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:F
Last Name:GRAUER
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 S 15TH PL
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53221-1613
Mailing Address - Country:US
Mailing Address - Phone:414-704-0320
Mailing Address - Fax:
Practice Address - Street 1:3717 S 15TH PL
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53221-1613
Practice Address - Country:US
Practice Address - Phone:414-704-0320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN