Active NPIIndividual providerSole proprietor

Michael P Grace, MD

Internal Medicine, Medical Oncology in Waterford, Vermont

NPI Number1720416191
Practice location
1220 Shadow Lake RD, Waterford, VT 05819-9530
Fax
—
Last updated
October 23, 2013

Michael Patrick Grace is an Internal Medicine, Medical Oncology based in Waterford, VT. Michael Patrick Grace practices in Waterford, VT and has the professional credentials of MD. The NPI Number for Michael Patrick Grace is 1720416191 and holds a License No. 042.0007602 (VT). The current practice location address for Michael Patrick Grace is 1220 Shadow Lake RD, Waterford, VT 05819-9530 and can be reached out via phone at 802-751-7675.

Provider Profile Details

NPI Number
1720416191
Provider Name
Michael Patrick Grace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1220 Shadow Lake RD, Waterford, VT 05819-9530
Phone Number
802-751-7675
Primary Taxonomy
Internal Medicine, Medical Oncology · 207RX0202X
Sole Proprietor
Yes
Provider Enumeration Date
October 23, 2013
Last Update Date
October 23, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1220 Shadow Lake RD
Waterford, VT 05819-9530
State
Vermont
Zip
05819-9530
Phone Number
802-751-7675
Waterford, VT 05819Get directions →

Provider Business Mailing Address Details

Address
1220 Shadow Lake RD
Waterford, VT 05819-9530
City
Waterford
State
VT
Zip
05819-9530
Phone Number
802-751-7675

License Information

License Number
042.0007602
License State
VT
Taxonomy
Internal Medicine, Medical Oncology · 207RX0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael P Grace, MD?

The NPI number of Michael P Grace, MD is 1720416191. It was assigned on October 23, 2013 and is currently active in the NPPES registry.

What is the specialty of Michael P Grace, MD?

Michael P Grace, MD is registered under the primary taxonomy Internal Medicine, Medical Oncology (code 207RX0202X), licensed in VT under license number 042.0007602.

Where does Michael P Grace, MD practice?

The practice location is 1220 Shadow Lake RD, Waterford, VT 05819-9530. The office can be reached at 802-751-7675 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720416191 directly on the NPPES registry website.

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