Individual
GRACE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2883 CREEK BEND DR, TROY, MI 48098-2381
(248) 227-4718
Mailing address
2883 CREEK BEND DR, TROY, MI 48098-2381
(248) 227-4718
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704216017
MI
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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