Mira Grace, MD is an addiction medicine family medicine in Pontiac, MI with 13 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Mira Grace, MD NPI is 1659667293. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
44428 WOODWARD AVENUE SUITE 102
PONTIAC, MI
ZIP 48341-009
Phone: (734) 712-8700
Fax: (734) 622-5017
The NPI 1659667293 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/22/2011 and was last updated on 10/2/2023.