Individual
MS. GRACE CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(313) 291-2707
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018371
NY
363A00000X
Physician Assistant
50.006813RX
OH
363A00000X
Physician Assistant
Primary
5601007236
MI
Other
Enumeration date
01/23/2015
Last updated
01/27/2022
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