Individual
GRACE ANN MOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
11961 MOUNT ST, CROWN POINT, IN 46307-8594
(219) 781-8632
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IN
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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