Individual
DR. GRACE E PAK
Active
Individual
DR. GRACE E PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2026-02443
NC
208600000X
Surgery Physician
ML61116053
WA
2086S0129X
Vascular Surgery Physician
Primary
2026-02443
NC
2086S0129X
Vascular Surgery Physician
Primary
336596
NC
Other
Enumeration date
02/09/2020
Last updated
07/15/2026
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