Individual provider · Type 1 NPI

Grace Edith Line

Driver · Superior, WI

NPI number 1790318186 Active

Practice location

4125 E Itasca St
Superior, WI 54880-4239

Call (218) 481-5357 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XL500-3056-2668-05 (WI)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1790318186

Grace Edith Line's National Provider Identifier is 1790318186, issued on Feb 13, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Superior, WI. The record was last updated on Aug 24, 2026.