Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MIRA GRACE, MD
Active Sole ProprietorDR. MIRA GRACE, MD is a Addiction Medicine (Family Practice) healthcare provider located in PONTIAC, Michigan. NPI 1659667293 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · PONTIAC, MI
Registration Details
- NPI Number
- 1659667293
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2011 (15.179527538091 yrs)
- Last Updated
- Feb 26, 2025
- License
-
4301507706 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
44428 WOODWARD AVENUE SUITE 102PONTIAC, MI, 483415009Browse MI providers · Browse ZIP 48341
- Phone
- 7347128700
- Fax
- 7346225017
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.