| Grace Pediatrics Pc | |
|
44200 Woodward Ave Ste 103 Pontiac MI 48341-5046 | |
| (248) 253-9600 | |
| (248) 253-0980 |
| Full Name | Grace Pediatrics Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 44200 Woodward Ave Ste 103, Pontiac, Michigan |
| Authorized Official Name and Position | Roy Pullukat (OWNER) |
| Authorized Official Contact | 2488843879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Pediatrics Pc 44200 Woodward Ave Ste 103 Pontiac MI 48341-5046 Ph: (248) 253-9600 | Grace Pediatrics Pc 44200 Woodward Ave Ste 103 Pontiac MI 48341-5046 Ph: (248) 253-9600 |
| NPI Number | 1003482019 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003482019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Oakland Progressive Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Suite 600, Seminole Building, Pontiac, MI 48341 Phone: 248-857-7500 | |
Impact Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5516 Fax: 248-338-5547 | |
Oakland Physicians Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Pontiac, MI 48341 Phone: 248-857-7583 | |
A.w.c. Fairclough Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 989 University Dr, Suite 107, Pontiac, MI 48342 Phone: 248-334-4773 Fax: 248-334-8230 | |
Oakland Primary Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 N Saginaw St, Pontiac, MI 48342 Phone: 248-322-6747 Fax: 248-322-5787 | |
Kay Robertson Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 44200 Woodward Ave, Suite 205, Pontiac, MI 48341 Phone: 248-858-9400 Fax: 248-858-9493 |