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NPI Profile for Dr MIRA GRACE in PONTIAC, MI.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine |
| NPI Number | 1659667293 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 06/22/2011 | |
| Last updated | 04/03/2026 - About 2 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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MIRA GRACE
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MIRA GRACE, MD