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Grace Pernecky
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1609647775

Grace Pernecky is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Grace Pernecky practices in Southfield, MI. The NPI Number for Grace Pernecky is 1609647775 and holds a License No. (Michigan).

The current practice location address for Grace Pernecky is 17320 W 12 Mile Rd, Southfield, MI and can be reached out via phone at 248-727-3456.

Location: 17320 W 12 Mile Rd, Southfield, MI, 48103-2807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609647775
Provider Name
Grace Pernecky
Credential
Provider Entity Type
Individual
Gender
Female
Address
17320 W 12 Mile Rd, Southfield, MI, 48103-2807
Phone Number
248-727-3456
Fax Number
Provider Enumeration Date
01/09/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17320 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48076-2100
Phone Number
248-727-3456
Fax Number
person
Provider Business Mailing Address Details
Address
17320 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48076-2100
Phone Number
248-727-3456
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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