Dr. MIRA GRACE MD
Individual Provider (NPI-1)
Active
Preventive Medicine, Addiction Medicine
Provider Information
- NPI Number
1659667293- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 44428 WOODWARD AVENUE SUITE 102, PONTIAC, MI, 483415009
- Phone
- (734) 712-8700
- Fax
- (734) 622-5017
Specialties & Taxonomies
Preventive Medicine, Addiction Medicine
Primary License: MI #4301507706