Organization
GRACE OB GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE SHADE MD (MANAGER)
(248) 543-8070
Entity
Organization
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(248) 543-8070
Mailing address
PO BOX 321061, DETROIT, MI 48232-1061
(248) 543-8070
(248) 543-9005
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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