Individual
MAUREEN GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2845 CAPITAL AVE SW, BATTLE CREEK, MI 49015-4185
(269) 979-6333
Mailing address
601 JOHN STREET, BOX 42, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011764
MI
363AM0700X
Medical Physician Assistant
MA060969
PA
Other
Enumeration date
09/17/2019
Last updated
11/03/2023
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