Individual
DR. MICHAEL PATRICK GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8613 N 30TH ST, OMAHA, NE 68112-1852
(402) 453-9900
(402) 453-5617
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26477
NE
207Q00000X
Family Medicine Physician
MD00046280
WA
207Q00000X
Family Medicine Physician
MD27100
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8455172
—
WA
Enumeration date
05/27/2006
Last updated
10/12/2016
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