Individual
GRACE VANKANNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
(313) 993-3313
Mailing address
5300 OLD HICKORY DR, BRIGHTON, MI 48116-4799
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/27/2026
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