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Contact Information

MICHAEL P GRACE, MD
1220 SHADOW LAKE RD
WATERFORD, VT05819-9530
 Phone: 802-751-7675
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL P GRACE · (Male)

NPI # 1720416191
Status Active
Credentials MD
Entity Individual
Enumeration date 10/23/2013
Last updated 10/23/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 042.0007602
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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