Individual
GRACESON CAROLINE MAXA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 794-5240
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-0001
(989) 832-0900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010272
MI
Other
Enumeration date
10/28/2020
Last updated
06/07/2022
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