Individual
JAMES GRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2390 MITCHELL PARK DR, SUITE B, PETOSKEY, MI 49770-8965
(231) 487-9090
(231) 487-9191
Mailing address
2390 MITCHELL PARK DR, SUITE B, PETOSKEY, MI 49770-8965
(231) 487-9090
(231) 487-9191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001920
MI
Other
Enumeration date
10/31/2006
Last updated
10/20/2009
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