Organization
GRACE PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY PULLUKAT MD (OWNER)
(248) 884-3879
Entity
Organization
Contact information
Practice address
44200 WOODWARD AVE STE 103, PONTIAC, MI 48341-5046
(248) 253-9600
(248) 253-0980
Mailing address
44200 WOODWARD AVE STE 103, PONTIAC, MI 48341-5046
(248) 253-9600
(248) 253-0980
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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