Individual
MITCHELL T PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD-DIAG RAD, DETROIT, MI 48202
(313) 916-7425
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD-DIAG RAD, DETROIT, MI 48202
(313) 916-7425
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
5101010036
MI
2085R0202X
Diagnostic Radiology Physician
Primary
5101010036
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MP010036
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
09/11/2025
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