Provider Demographics
NPI:1376722157
Name:GRAFTON SCHOOL DISTRICT
Entity Type:Organization
Organization Name:GRAFTON SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANNEMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:262-376-5403
Mailing Address - Street 1:1900 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WI
Mailing Address - Zip Code:53024-2103
Mailing Address - Country:US
Mailing Address - Phone:262-376-5403
Mailing Address - Fax:262-376-5599
Practice Address - Street 1:1900 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WI
Practice Address - Zip Code:53024-2103
Practice Address - Country:US
Practice Address - Phone:262-376-5403
Practice Address - Fax:262-376-5599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44215400Medicaid