SearchWisconsin124Q00000X

Stacie Griswold

NPI 1235088816 · on the registry since 2026

Practice

Address
1314 S 1st St # 276
Milwaukee, WI 53204
Phone
(407) 375-3003
Organisation at this address
Ltc Dental Iii Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin