Search › Wisconsin › 224Y00000X
Jacob Gravenkamp
NPI 1902548225 · on the registry since 2022 · sole proprietor
Practice
- Address
- 21345 Clearfield Ct
Brookfield, WI 53045 - Phone
- (262) 312-0671
Registry record
- Primary taxonomy
- 224Y00000X
224Y00000X
- Sex
- Male
- Record last updated
- 2022-04-07
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