Individual provider · Type 1 NPI

Grant Eckelkamp, DO

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

NPI number 1891499513 Active

Practice location

8701 Watertown Plank Rd
Milwaukee, WI 53226-3548

Call (414) 805-3000 Map

Mailing address

26W171 Roosevelt Rd
Wheaton, IL 60187-6002

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000X125.084684 (IL)
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 1891499513

Grant Eckelkamp, DO's National Provider Identifier is 1891499513, issued on Mar 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 4, 2024.