Individual
DR. GRACIELA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3297
Mailing address
4971 FORT STREET, TRENTON, MI 48183
(773) 892-4371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101018435
MI
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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