Individual provider · Type 1 NPI

Grant Momchilovich

Student in an Organized Health Care Education/Training Program · New Richmond, WI

NPI number 1487455358 Active

Practice location

1440 166th Ave
New Richmond, WI 54017-6580

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487455358

Grant Momchilovich's National Provider Identifier is 1487455358, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Richmond, WI. The record was last updated on Mar 24, 2025.