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Individual

GRACE JANE KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.,

Contact information

Practice address
7500 CHALLIS RD, 1ST FLOOR, BRIGHTON, MI 48116-9416
(810) 263-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
222180
NY
208600000X
Surgery Physician
Primary
4301116319
MI

Other

Enumeration date
08/07/2006
Last updated
02/14/2020
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