Individual
VICENTE CALDEIRA GRACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
445 CHERRY ST SE, GRAND RAPIDS, MI 49503-4601
(616) 454-9246
(616) 454-6839
Mailing address
445 CHERRY ST SE, GRAND RAPIDS, MI 49503-4601
(616) 454-9246
(616) 454-6839
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301032510
MI
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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