Individual
GRACE BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-AC
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5437
Mailing address
700 NEWPORT PL, ANN ARBOR, MI 48103-3648
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704286849
MI
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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