Individual
GRACE OGLE MISHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP, CNM
Contact information
Practice address
5333 MCAULEY DR RM 2110, YPSILANTI, MI 48197-1097
(734) 712-3967
(734) 712-2341
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
4704252910
MI
176B00000X
Midwife
C-APN.0001084-C-CNM
CO
363LF0000X
Family Nurse Practitioner
Primary
4704252910
MI
363LF0000X
Family Nurse Practitioner
C-APN.0000906-C-NP
CO
Other
Enumeration date
09/15/2009
Last updated
04/12/2022
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