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Individual

GRACE INGRAM NEWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, MD

Contact information

Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25685
MS
2085R0202X
Diagnostic Radiology Physician
Primary
4301512893
MI
2085R0202X
Diagnostic Radiology Physician
57364
TN
2085R0202X
Diagnostic Radiology Physician
ME169786
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/23/2012
Last updated
02/06/2025
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